Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $120.38	Professional		$109.44	$109.44	$120.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $111.62	Professional		$109.44	$109.44	$111.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $214.50	Facility		$109.44	$109.44	$214.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $103.24 / $109.44	Facility		$103.24	$103.24	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $139.38	Professional		$109.44	$109.44	$139.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $265.14 / $723.00	Professional		$265.14	$265.14	$723.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $192.97 / $239.19	Professional		$186.04	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $191.52	Professional		$109.44	$109.44	$191.52