Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.27 / $4,659.35 / $9,547.20	Facility		$133.27	$4,659.35	$9,547.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $201.17	Professional		$138.74	$138.74	$201.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $141.51	Professional		$138.74	$138.74	$141.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $271.93	Facility		$138.74	$138.74	$271.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $130.88 / $138.74	Facility		$130.88	$130.88	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $176.70	Professional		$138.74	$138.74	$176.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $138.75 / $330.00	Professional		$138.75	$138.75	$330.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $235.86 / $256.67	Professional		$192.97	$235.86	$256.67
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $212.27	Professional		$138.74	$138.74	$212.27