Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,068.38	Professional		$1,969.89	$1,969.89	$2,068.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,009.28	Professional		$1,969.89	$1,969.89	$2,009.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $3,860.98	Facility		$1,969.89	$1,969.89	$3,860.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,858.38 / $1,969.89	Facility		$1,858.38	$1,858.38	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,508.82	Professional		$1,969.89	$1,969.89	$2,508.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.00 / $2,296.02 / $2,296.02	Professional		$1,184.00	$2,296.02	$2,296.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $3,644.29	Professional		$192.97	$239.19	$3,644.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,702.16	Professional		$1,969.89	$1,969.89	$2,702.16