Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $92.98 / $9,937.15	Facility		$55.09	$92.98	$9,937.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.65 / $82.63	Professional		$55.09	$55.65	$82.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $90.60 / $204.24	Facility		$55.65	$90.60	$204.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $56.76	Professional		$55.65	$55.65	$56.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $89.04	Facility		$55.65	$55.65	$89.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.65 / $89.04	Professional		$55.09	$55.65	$89.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $55.65	Facility		$52.50	$52.50	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $70.73	Professional		$55.65	$55.65	$70.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $51.97 / $100.00	Professional		$37.54	$51.97	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $92.50 / $114.63	Professional		$52.86	$92.50	$114.63
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $57.88 / $70.77	Professional		$55.65	$57.88	$70.77