Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.45	Professional		$204.96	$204.96	$225.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $209.05	Professional		$204.96	$204.96	$209.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $401.72	Facility		$204.96	$204.96	$401.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $193.35 / $204.96	Facility		$193.35	$193.35	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $263.35	Professional		$204.96	$204.96	$263.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $263.35 / $1,263.00	Professional		$210.68	$263.35	$1,263.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $239.19 / $379.17	Professional		$176.10	$239.19	$379.17
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $966.99	Professional		$204.96	$204.96	$966.99