Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,876.75	Professional		$3,692.14	$3,692.14	$3,876.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,765.98	Professional		$3,692.14	$3,692.14	$3,765.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $7,236.59	Facility		$3,692.14	$3,692.14	$7,236.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,483.15 / $3,692.14	Facility		$3,483.15	$3,483.15	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,702.26	Professional		$3,692.14	$3,692.14	$4,702.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,907.00 / $2,907.00 / $4,749.00	Professional		$2,907.00	$2,907.00	$4,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $6,830.46	Professional		$192.97	$239.19	$6,830.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,482.63	Professional		$3,692.14	$3,692.14	$4,482.63