Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.32	Professional		$106.97	$106.97	$112.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $109.10	Professional		$106.97	$106.97	$109.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $209.66	Facility		$106.97	$106.97	$209.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $136.22	Professional		$106.97	$106.97	$136.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $37.97 / $45.58	Professional		$37.97	$37.97	$45.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $192.97 / $239.19	Professional		$181.85	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $135.34	Professional		$106.97	$106.97	$135.34