Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $208.93	Professional		$109.65	$128.82	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $263.03	Professional		$162.18	$181.97	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $338.84	Facility		$208.93	$208.93	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $229.09	Professional		$154.88	$154.88	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $660.69	Professional		$194.98	$234.42	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $288.40	Professional		$251.19	$251.19	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $177.83	Facility		$102.33	$141.25	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $269.15	Professional		$95.50	$141.25	$269.15