Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $191.29	Professional		$182.18	$182.18	$191.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $185.82	Professional		$182.18	$182.18	$185.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $357.07	Facility		$182.18	$182.18	$357.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $182.18	Facility		$171.87	$171.87	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $232.02	Professional		$182.18	$182.18	$232.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $674.00	Professional		$182.18	$182.18	$674.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $337.03	Professional		$192.97	$239.19	$337.03
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $300.60	Professional		$182.18	$182.18	$300.60