Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.96 / $9,660.00	Facility		$48.03	$48.96	$9,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $72.70	Professional		$48.96	$49.45	$72.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $79.70 / $179.68	Facility		$48.96	$79.70	$179.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $84.78 / $98.13	Professional		$44.10	$84.78	$98.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $95.96	Facility		$48.96	$48.96	$95.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $48.96	Facility		$46.19	$46.19	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $66.01 / $66.01	Professional		$40.35	$66.01	$66.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,067.21 / $8,622.61 / $13,030.42	Facility		$5,067.21	$8,622.61	$13,030.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $85.68	Professional		$48.96	$48.96	$85.68