Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.00 / $70.56	Facility		$47.97	$48.00	$70.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $58.08	Professional		$47.97	$48.00	$58.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $76.75 / $176.05	Facility		$47.97	$76.75	$176.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.92	Professional		$47.97	$47.97	$48.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $94.02	Facility		$47.97	$47.97	$94.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $47.97	Facility		$45.26	$45.26	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $62.95 / $110.00	Professional		$48.42	$62.95	$110.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $64.59 / $98.81	Professional		$45.09	$64.59	$98.81
United Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $94.05 / $94.05	Facility		$48.23	$94.05	$94.05
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00