Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $152.76	Professional		$145.49	$145.49	$152.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $148.38	Professional		$145.49	$145.49	$148.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $285.16	Facility		$145.49	$145.49	$285.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $137.25 / $145.49	Facility		$137.25	$137.25	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $185.29	Professional		$145.49	$145.49	$185.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $116.96 / $295.00	Professional		$116.96	$116.96	$295.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $269.14	Professional		$192.97	$239.19	$269.14
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $222.60	Professional		$145.49	$145.49	$222.60