Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $100.43 / $102.85	Professional		$96.80	$100.43	$102.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $114.95 / $117.24	Professional		$110.00	$114.95	$117.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $105.88 / $105.88	Facility		$102.85	$105.88	$105.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
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 $110.00 / $110.00 / $146.41	Professional		$110.00	$110.00	$146.41