Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $83.18	Professional		$75.79	$75.79	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $81.84	Professional		$75.79	$75.79	$81.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $148.55	Facility		$75.79	$75.79	$148.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $71.50 / $75.79	Facility		$71.50	$71.50	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $96.53	Professional		$75.79	$75.79	$96.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $119.43 / $985.00	Professional		$119.43	$119.43	$985.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $140.21 / $239.19	Professional		$128.84	$140.21	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $115.96	Professional		$75.79	$75.79	$115.96