Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $102.67 / $18,777.29	Facility		$69.84	$102.67	$18,777.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $71.37 / $84.64	Professional		$69.84	$71.37	$84.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $114.19 / $261.93	Facility		$71.37	$114.19	$261.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $72.79	Professional		$71.37	$71.37	$72.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $139.88	Facility		$71.37	$71.37	$139.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $67.33 / $71.37	Facility		$67.33	$67.33	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $90.90	Professional		$71.37	$71.37	$90.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $71.84 / $145.00	Professional		$54.03	$71.84	$145.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $120.34 / $147.02	Professional		$67.80	$120.34	$147.02
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.26 / $91.35	Professional		$71.37	$75.26	$91.35