Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $139.21 / $203.85	Facility		$138.66	$139.21	$203.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $139.21 / $167.05	Professional		$138.66	$139.21	$167.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $222.74 / $510.90	Facility		$139.21	$222.74	$510.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $141.99	Professional		$139.21	$139.21	$141.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $272.85	Facility		$139.21	$139.21	$272.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $131.33 / $139.21	Facility		$131.33	$131.33	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $164.17	Professional		$139.21	$139.21	$164.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $136.43 / $258.20	Professional		$83.95	$136.43	$258.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $192.11 / $279.33	Professional		$107.00	$192.11	$279.33
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.87 / $174.01	Professional		$139.21	$140.87	$174.01