Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $93.88	Professional		$89.41	$89.41	$93.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $91.19	Professional		$89.41	$89.41	$91.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $175.24	Facility		$89.41	$89.41	$175.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $89.41	Facility		$84.35	$84.35	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $113.87	Professional		$89.41	$89.41	$113.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $87.18 / $758.00	Professional		$87.18	$87.18	$758.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $165.40 / $239.19	Professional		$151.99	$165.40	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $206.97	Professional		$89.41	$89.41	$206.97