Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $79.86 / $6,706.62	Facility		$63.38	$79.86	$6,706.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $87.85	Professional		$63.38	$79.86	$87.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $127.78 / $293.08	Facility		$79.86	$127.78	$293.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $82.94	Professional		$79.86	$79.86	$82.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $156.53	Facility		$79.86	$79.86	$156.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $79.86	Facility		$75.34	$75.34	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $101.71	Professional		$79.86	$79.86	$101.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $136.80 / $322.64	Professional		$74.76	$136.80	$322.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $127.78 / $239.40	Professional		$65.16	$127.78	$239.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.21 / $106.30	Professional		$79.86	$84.21	$106.30