Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,997.75	Professional		$1,902.62	$1,902.62	$1,997.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,940.67	Professional		$1,902.62	$1,902.62	$1,940.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,729.14	Facility		$1,902.62	$1,902.62	$3,729.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,794.93 / $1,902.62	Facility		$1,794.93	$1,794.93	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,423.15	Professional		$1,902.62	$1,902.62	$2,423.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,295.00 / $2,295.00 / $2,295.00	Professional		$2,295.00	$2,295.00	$2,295.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $3,519.85	Professional		$192.97	$239.19	$3,519.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,663.36	Professional		$1,902.62	$1,902.62	$2,663.36