Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $22,387.21	Facility		$70.79	$114.82	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $389.05	Facility		$70.79	$114.82	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $70.79	Facility		$66.07	$66.07	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $83.18	Professional		$70.79	$70.79	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $165.96	Professional		$53.70	$70.79	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $128.82	Professional		$30.20	$70.79	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $186.21	Facility		$67.61	$131.83	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $91.20	Professional		$67.61	$72.44	$91.20