Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $196.25 / $196.25	Facility		$196.25	$196.25	$196.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $78.68	Professional		$63.87	$76.83	$78.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $81.77 / $87.94	Professional		$80.23	$81.77	$87.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $94.04 / $94.04	Facility		$94.04	$94.04	$94.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $299.38	Professional		$81.77	$81.77	$299.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $342.00	Professional		$221.00	$221.00	$342.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $137.40 / $158.60	Professional		$130.80	$137.40	$158.60
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $106.59	Professional		$92.57	$92.57	$106.59