Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $59.72 / $33,650.00	Facility		$55.30	$59.72	$33,650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $55.47 / $63.60	Professional		$55.30	$55.47	$63.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $88.75 / $203.57	Facility		$55.47	$88.75	$203.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $52.79 / $57.39	Professional		$50.96	$52.79	$57.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $108.72	Facility		$55.47	$55.47	$108.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $52.33 / $55.47	Facility		$52.33	$52.33	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $63.72	Professional		$55.47	$55.47	$63.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $70.38 / $140.00	Professional		$54.14	$70.38	$140.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $88.76 / $114.31	Professional		$52.70	$88.76	$114.31
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $57.64 / $69.61	Professional		$54.38	$57.64	$69.61