Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $10,271.52	Facility		$161.62	$161.62	$10,271.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $177.79	Professional		$161.62	$161.62	$177.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $164.85	Professional		$161.62	$161.62	$164.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $316.77	Facility		$161.62	$161.62	$316.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $152.47 / $161.62	Facility		$152.47	$152.47	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $205.84	Professional		$161.62	$161.62	$205.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.81 / $171.81 / $206.17	Professional		$171.81	$171.81	$206.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $299.00	Professional		$192.97	$239.19	$299.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $282.83	Professional		$161.62	$161.62	$282.83