Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $1,032.00	Facility		$245.30	$245.30	$1,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $272.52	Professional		$245.30	$245.30	$272.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $250.20	Professional		$245.30	$245.30	$250.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $480.79	Facility		$245.30	$245.30	$480.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $231.42 / $245.30	Facility		$231.42	$231.42	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $312.41	Professional		$245.30	$245.30	$312.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $242.73 / $585.00	Professional		$242.73	$242.73	$585.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $453.81	Professional		$192.97	$239.19	$453.81
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $404.75	Professional		$245.30	$245.30	$404.75