Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Facility		$173.93	$173.93	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $178.13	Professional		$167.65	$173.93	$178.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.37 / $192.76 / $192.76	Professional		$161.37	$192.76	$192.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $183.37 / $183.37	Facility		$178.13	$183.37	$183.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $213.76	Professional		$178.13	$178.13	$213.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $235.18	Professional		$202.90	$202.90	$235.18