Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $149.40 / $149.40	Facility		$149.40	$149.40	$149.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $149.40 / $153.00	Professional		$144.00	$149.40	$153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $140.59 / $171.00	Professional		$103.13	$140.59	$171.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $157.50 / $157.50	Facility		$153.00	$157.50	$157.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $495.00 / $495.00	Facility		$495.00	$495.00	$495.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $208.64	Professional		$180.00	$180.00	$208.64