Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,532.43	Professional		$1,393.12	$1,393.12	$1,532.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,420.98	Professional		$1,393.12	$1,393.12	$1,420.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,730.52	Facility		$1,393.12	$1,393.12	$2,730.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $1,393.12	Facility		$1,314.26	$1,314.26	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,774.26	Professional		$1,393.12	$1,393.12	$1,774.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $1,989.00 / $1,989.00	Professional		$1,989.00	$1,989.00	$1,989.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $2,577.27	Professional		$192.97	$239.19	$2,577.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,152.32	Professional		$1,393.12	$1,393.12	$2,152.32