Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $8,435.95 / $36,551.50	Facility		$75.22	$8,435.95	$36,551.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.95 / $112.74	Professional		$75.22	$75.95	$112.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $120.35 / $276.06	Facility		$75.22	$120.35	$276.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $84.99	Professional		$75.22	$75.22	$84.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $121.49	Facility		$75.22	$75.22	$121.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $120.35	Professional		$75.22	$75.93	$120.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $75.22	Facility		$70.95	$70.95	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $95.80	Professional		$75.22	$75.22	$95.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $95.83 / $286.00	Professional		$76.73	$95.83	$286.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $127.10 / $192.70	Professional		$71.45	$127.10	$192.70
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $96.28	Professional		$75.22	$79.73	$96.28