Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $168.53 / $2,085.89	Facility		$95.90	$168.53	$2,085.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.72	Professional		$95.90	$95.90	$130.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $153.44 / $351.95	Facility		$95.90	$153.44	$351.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $108.03	Professional		$95.90	$95.90	$108.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $187.96	Facility		$95.90	$95.90	$187.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $90.47 / $95.90	Facility		$90.47	$90.47	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $133.69	Professional		$95.90	$95.90	$133.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $633.39 / $2,189.58	Professional		$133.69	$633.39	$2,189.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $160.84 / $2,207.90	Professional		$86.94	$160.84	$2,207.90
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $166.53	Professional		$95.90	$101.65	$166.53