Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.92	Professional		$98.11	$98.11	$107.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $100.07	Professional		$98.11	$98.11	$100.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $192.30	Facility		$98.11	$98.11	$192.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $98.11	Facility		$92.55	$92.55	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $124.95	Professional		$98.11	$98.11	$124.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $93.57 / $135.68	Professional		$93.57	$93.57	$135.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $181.50 / $239.19	Professional		$166.78	$181.50	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $161.88	Professional		$98.11	$98.11	$161.88