Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $123.55	Professional		$112.32	$112.32	$123.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $114.56	Professional		$112.32	$112.32	$114.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $220.15	Facility		$112.32	$112.32	$220.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $105.96 / $112.32	Facility		$105.96	$105.96	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $143.05	Professional		$112.32	$112.32	$143.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $235.69 / $1,505.00	Professional		$235.69	$235.69	$1,505.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $192.97 / $239.19	Professional		$190.94	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $1,003.01	Professional		$112.32	$112.32	$1,003.01