Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,054.40 / $3,054.40 / $3,054.40	Facility		$3,054.40	$3,054.40	$3,054.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,054.40 / $3,128.00	Professional		$2,944.00	$3,054.40	$3,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $3,493.39	Professional		$530.00	$530.00	$3,493.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,220.00 / $3,220.00	Facility		$3,128.00	$3,220.00	$3,220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.09 / $3,128.00 / $3,128.00	Facility		$1,212.09	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.00 / $1,212.09 / $1,212.09	Professional		$1,139.00	$1,212.09	$1,212.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $980.50	Professional		$192.97	$239.19	$980.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,259.52	Professional		$3,200.00	$3,200.00	$4,259.52