Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $106.80	Professional		$101.72	$101.72	$106.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $103.75	Professional		$101.72	$101.72	$103.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $199.37	Facility		$101.72	$101.72	$199.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $101.72	Facility		$95.96	$95.96	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $129.54	Professional		$101.72	$101.72	$129.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $116.68 / $421.00	Professional		$116.68	$116.68	$421.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $188.17 / $239.19	Professional		$172.92	$188.17	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $178.01	Professional		$101.72	$101.72	$178.01