Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $66.00 / $142.27	Facility		$65.26	$66.00	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $66.00 / $78.95	Professional		$65.26	$66.00	$78.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $107.45 / $242.22	Facility		$66.00	$107.45	$242.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $67.31	Professional		$66.00	$66.00	$67.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $129.36	Facility		$66.00	$66.00	$129.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $66.00	Facility		$62.26	$62.26	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $83.13	Professional		$66.00	$66.00	$83.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $70.64 / $135.52	Professional		$49.84	$70.64	$135.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $112.13 / $135.94	Professional		$62.70	$112.13	$135.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $68.64 / $83.15	Professional		$66.00	$68.64	$83.15