Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $729.90 / $7,331.76	Facility		$151.16	$729.90	$7,331.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $181.40	Professional		$151.16	$151.16	$181.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $154.19	Professional		$151.16	$151.16	$154.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $296.29	Facility		$151.16	$151.16	$296.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $151.16	Facility		$142.61	$142.61	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $192.52	Professional		$151.16	$151.16	$192.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $158.33 / $505.00	Professional		$158.33	$158.33	$505.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $279.66	Professional		$192.97	$239.19	$279.66
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $351.98	Professional		$151.16	$151.16	$351.98