Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,524.87	Professional		$1,452.25	$1,452.25	$1,524.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,481.29	Professional		$1,452.25	$1,452.25	$1,481.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,846.41	Facility		$1,452.25	$1,452.25	$2,846.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $1,370.05 / $1,452.25	Facility		$1,370.05	$1,370.05	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,849.57	Professional		$1,452.25	$1,452.25	$1,849.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,557.99 / $1,557.99 / $1,579.00	Professional		$1,557.99	$1,557.99	$1,579.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $2,686.67	Professional		$192.97	$239.19	$2,686.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,396.21	Professional		$1,452.25	$1,452.25	$2,396.21