Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $6,877.77 / $25,522.32	Facility		$45.31	$6,877.77	$25,522.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.77 / $62.22	Professional		$45.31	$45.77	$62.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $73.76 / $166.29	Facility		$45.31	$73.76	$166.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $99.52 / $99.53	Professional		$41.81	$99.52	$99.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $45.31 / $89.13	Facility		$45.31	$45.31	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $42.75 / $45.31	Facility		$42.75	$42.75	$45.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $78.48 / $78.48	Professional		$39.92	$78.48	$78.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16,480.16 / $16,916.29 / $26,092.39	Facility		$16,480.16	$16,916.29	$26,092.39
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $84.19	Professional		$45.31	$45.31	$84.19