Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $57.51 / $78.50	Facility		$53.40	$57.51	$78.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $64.61	Professional		$53.40	$57.51	$64.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $62.40 / $62.40	Facility		$57.51	$62.40	$62.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $58.66	Professional		$53.40	$57.51	$58.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $112.72	Facility		$57.51	$57.51	$112.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $57.51	Facility		$54.25	$54.25	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $72.75	Professional		$57.51	$57.51	$72.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $50.95 / $92.27	Professional		$3.00	$50.95	$92.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $61.05 / $102.81	Professional		$17.39	$61.05	$102.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $72.75	Professional		$57.51	$57.51	$72.75