Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $147.72 / $147.72	Facility		$147.72	$147.72	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $147.72 / $151.27	Professional		$142.38	$147.72	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $35.60 / $77.05	Professional		$35.60	$35.60	$77.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $155.72 / $155.72	Facility		$151.27	$155.72	$155.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
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 $161.79 / $161.79 / $215.36	Professional		$161.79	$161.79	$215.36