Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.27	Professional		$111.15	$111.15	$122.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $120.04	Professional		$111.15	$111.15	$120.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $217.85	Facility		$111.15	$111.15	$217.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $104.86 / $111.15	Facility		$104.86	$104.86	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $141.56	Professional		$111.15	$111.15	$141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.79 / $363.79 / $710.00	Professional		$363.79	$363.79	$710.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $192.97 / $239.19	Professional		$188.96	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $193.56	Professional		$111.15	$111.15	$193.56