Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $138.49	Professional		$131.90	$131.90	$138.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $134.53	Professional		$131.90	$131.90	$134.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $258.52	Facility		$131.90	$131.90	$258.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $124.43 / $131.90	Facility		$124.43	$124.43	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $167.98	Professional		$131.90	$131.90	$167.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $144.36 / $589.00	Professional		$144.36	$144.36	$589.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $224.23 / $244.01	Professional		$192.97	$224.23	$244.01
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $452.71	Professional		$131.90	$131.90	$452.71