Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $200.86 / $200.86	Facility		$200.86	$200.86	$200.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $205.70	Professional		$193.60	$200.86	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $81.29 / $81.29	Professional		$71.54	$81.29	$81.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $211.75 / $211.75	Facility		$205.70	$211.75	$211.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $215.05	Facility		$205.70	$205.70	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $280.50	Professional		$220.00	$220.00	$280.50