Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,171.90	Professional		$2,068.46	$2,068.46	$2,171.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,109.83	Professional		$2,068.46	$2,068.46	$2,109.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $4,054.20	Facility		$2,068.46	$2,068.46	$4,054.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $2,068.46	Facility		$1,951.39	$1,951.39	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,634.37	Professional		$2,068.46	$2,068.46	$2,634.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $2,825.40 / $2,825.40	Professional		$758.00	$2,825.40	$2,825.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $3,826.67	Professional		$192.97	$239.19	$3,826.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,164.76	Professional		$2,068.46	$2,068.46	$3,164.76