Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $60.09 / $60.09	Facility		$60.09	$60.09	$60.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $69.09	Professional		$57.92	$60.09	$69.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $102.34 / $234.73	Facility		$63.96	$102.34	$234.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $68.78 / $68.79	Professional		$60.34	$68.78	$68.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $63.35 / $88.69	Facility		$61.54	$63.35	$88.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $62.23	Facility		$61.54	$61.54	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $61.54 / $256.00	Professional		$60.08	$61.54	$256.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $76.30 / $143.90	Professional		$27.40	$76.30	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $77.23	Professional		$60.34	$63.96	$77.23