Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $64,565.42	Facility		$81.28	$134.90	$64,565.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $446.68	Facility		$81.28	$134.90	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $213.80	Professional		$64.57	$81.28	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $81.28 / $109.65	Professional		$30.20	$81.28	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $208.93	Facility		$81.28	$147.91	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $97.72	Professional		$77.62	$81.28	$97.72