Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Facility		$1,195.20	$1,195.20	$1,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,195.20 / $1,224.00	Professional		$1,152.00	$1,195.20	$1,224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $386.49 / $1,369.96	Professional		$386.49	$386.49	$1,369.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,260.00 / $1,260.00	Facility		$1,224.00	$1,260.00	$1,260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $1,224.00 / $1,224.00	Professional		$803.00	$1,224.00	$1,224.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $657.04 / $657.04 / $715.01	Professional		$657.04	$657.04	$715.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,597.32	Professional		$1,200.00	$1,200.00	$1,597.32