Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $33,884.42	Facility		$56.23	$91.20	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $309.03	Facility		$56.23	$91.20	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Professional		$52.48	$52.48	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Facility		$52.48	$52.48	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $147.91	Professional		$56.23	$64.57	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $100.00	Professional		$30.20	$56.23	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $147.91	Facility		$54.95	$107.15	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $69.18	Professional		$54.95	$57.54	$69.18