Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $160.33 / $16,033.28	Facility		$78.45	$160.33	$16,033.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $79.00 / $103.35	Professional		$78.45	$79.00	$103.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $128.61 / $289.93	Facility		$79.00	$128.61	$289.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $80.58	Professional		$79.00	$79.00	$80.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $154.84	Facility		$79.00	$79.00	$154.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.52 / $79.00	Facility		$74.52	$74.52	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $100.61	Professional		$79.00	$79.00	$100.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $82.31 / $172.11	Professional		$63.52	$82.31	$172.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $134.29 / $162.72	Professional		$75.05	$134.29	$162.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $82.16 / $105.07	Professional		$79.00	$82.16	$105.07