Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $84.04	Professional		$80.04	$80.04	$84.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $81.64	Professional		$80.04	$80.04	$81.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $156.88	Facility		$80.04	$80.04	$156.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $75.51 / $80.04	Facility		$75.51	$75.51	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $101.94	Professional		$80.04	$80.04	$101.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.34 / $624.34 / $717.99	Professional		$624.34	$624.34	$717.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $148.07 / $239.19	Professional		$136.07	$148.07	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $139.38	Professional		$80.04	$80.04	$139.38