Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $149.40 / $149.40	Facility		$149.40	$149.40	$149.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $149.40 / $153.00	Professional		$144.00	$149.40	$153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $144.00 / $171.00	Professional		$135.00	$144.00	$171.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $157.50 / $157.50	Facility		$153.00	$157.50	$157.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $303.00	Professional		$153.00	$153.00	$303.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $501.93 / $528.89	Professional		$484.62	$501.93	$528.89
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $351.00 / $351.00	Facility		$180.00	$351.00	$351.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $225.72	Professional		$180.00	$180.00	$225.72