Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $57.66 / $26,674.64	Facility		$36.69	$57.66	$26,674.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $44.72	Professional		$36.69	$36.69	$44.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $58.70 / $134.65	Facility		$36.69	$58.70	$134.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $37.42	Professional		$36.69	$36.69	$37.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $71.91	Facility		$36.69	$36.69	$71.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $46.73	Professional		$36.69	$36.69	$46.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $47.55 / $155.00	Professional		$36.58	$47.55	$155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $62.38 / $86.00	Professional		$34.86	$62.38	$86.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $73.18 / $73.18	Facility		$37.53	$73.18	$73.18
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.89 / $46.96	Professional		$36.69	$38.89	$46.96