Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $68.63 / $68.63	Facility		$68.63	$68.63	$68.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $67.98 / $83.87	Professional		$56.81	$67.98	$83.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $44.69 / $118.91	Professional		$5.74	$44.69	$118.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $95.87 / $95.87	Facility		$93.13	$95.87	$95.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $100.00	Professional		$93.13	$93.13	$100.00
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 Professional Modifier Low / Median / High Price $91.30 / $91.30 / $125.17	Professional		$91.30	$91.30	$125.17