Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $127.78 / $66,660.62	Facility		$81.91	$127.78	$66,660.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $82.08 / $97.57	Professional		$81.91	$82.08	$97.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $131.31 / $301.20	Facility		$82.07	$131.31	$301.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $83.72	Professional		$82.08	$82.08	$83.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $160.88	Facility		$82.08	$82.08	$160.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Professional		$82.08	$82.08	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $77.43 / $82.07	Facility		$77.43	$77.43	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $92.92	Professional		$82.07	$82.07	$92.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $76.53 / $246.00	Professional		$65.28	$76.53	$246.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $131.32 / $169.14	Professional		$27.40	$131.32	$169.14
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $100.48	Professional		$82.08	$82.08	$100.48