Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,059.05	Professional		$1,961.00	$1,961.00	$2,059.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,824.70 / $1,961.00 / $2,000.22	Professional		$1,824.70	$1,961.00	$2,000.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $3,843.56	Facility		$1,961.00	$1,961.00	$3,843.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $1,961.00	Facility		$1,850.00	$1,850.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,497.50	Professional		$1,961.00	$1,961.00	$2,497.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $1,632.00 / $2,216.00	Professional		$1,632.00	$1,632.00	$2,216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $3,627.85	Professional		$192.97	$239.19	$3,627.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,596.52	Professional		$1,961.00	$1,961.00	$2,596.52