Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $100.38 / $100.38	Facility		$100.38	$100.38	$100.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $100.38 / $102.80	Professional		$96.75	$100.38	$102.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $114.97	Professional		$102.80	$102.80	$114.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $105.82 / $105.82	Facility		$102.80	$105.82	$105.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
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 $100.78 / $100.78 / $134.15	Professional		$100.78	$100.78	$134.15