Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $2,491.33	Facility		$123.80	$123.80	$2,491.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $126.27	Professional		$123.80	$123.80	$126.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $242.65	Facility		$123.80	$123.80	$242.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $116.79 / $123.80	Facility		$116.79	$116.79	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $157.66	Professional		$123.80	$123.80	$157.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.51 / $842.00	Professional		$127.50	$127.51	$842.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $210.46 / $239.19	Professional		$192.97	$210.46	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $309.66	Professional		$123.80	$123.80	$309.66