Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,498.82	Professional		$1,427.45	$1,427.45	$1,498.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,455.99	Professional		$1,427.45	$1,427.45	$1,455.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,797.80	Facility		$1,427.45	$1,427.45	$2,797.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,346.65 / $1,427.45	Facility		$1,346.65	$1,346.65	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,817.98	Professional		$1,427.45	$1,427.45	$1,817.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,459.55 / $1,459.55 / $10,594.00	Professional		$1,459.55	$1,459.55	$10,594.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $2,640.78	Professional		$192.97	$239.19	$2,640.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,387.09 / $2,704.83 / $2,704.83	Facility		$1,387.09	$2,704.83	$2,704.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,900.08	Professional		$1,427.45	$1,427.45	$1,900.08