Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,105.53	Professional		$1,052.89	$1,052.89	$1,105.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,073.94	Professional		$1,052.89	$1,052.89	$1,073.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,063.66	Facility		$1,052.89	$1,052.89	$2,063.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $993.29 / $1,052.89	Facility		$993.29	$993.29	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,340.94	Professional		$1,052.89	$1,052.89	$1,340.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $300.18 / $511.00	Professional		$300.18	$300.18	$511.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $1,947.84	Professional		$192.97	$239.19	$1,947.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,161.55	Professional		$1,052.89	$1,052.89	$1,161.55