Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,231.19	Professional		$1,172.56	$1,172.56	$1,231.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,196.01	Professional		$1,172.56	$1,172.56	$1,196.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $2,298.21	Facility		$1,172.56	$1,172.56	$2,298.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,106.19 / $1,172.56	Facility		$1,106.19	$1,106.19	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,493.35	Professional		$1,172.56	$1,172.56	$1,493.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.00 / $1,147.50 / $1,147.50	Professional		$820.00	$1,147.50	$1,147.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $2,169.23	Professional		$192.97	$239.19	$2,169.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,560.79	Professional		$1,172.56	$1,172.56	$1,560.79