Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $83.00 / $85.00	Professional		$80.00	$83.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $152.87 / $171.97	Professional		$85.00	$152.87	$171.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $87.50 / $87.50	Facility		$85.00	$87.50	$87.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $98.34	Professional		$85.00	$85.00	$98.34
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 $160.91 / $160.91 / $201.79	Professional		$160.91	$160.91	$201.79