Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $5,142.24 / $23,720.06	Facility		$31.09	$5,142.24	$23,720.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.40 / $56.89	Professional		$31.09	$31.40	$56.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $50.61 / $114.10	Facility		$31.09	$50.61	$114.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.71	Professional		$31.09	$31.09	$31.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.09 / $60.94	Facility		$31.09	$31.09	$60.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $31.09	Facility		$29.33	$29.33	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $57.35 / $85.66	Professional		$33.57	$57.35	$85.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,373.43 / $13,572.71 / $20,581.16	Facility		$3,373.43	$13,572.71	$20,581.16
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $88.35	Professional		$31.09	$31.09	$88.35