Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $52.49 / $112.31	Facility		$50.45	$52.49	$112.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.49 / $61.04	Professional		$50.45	$52.49	$61.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $83.98 / $192.64	Facility		$52.49	$83.98	$192.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $53.53	Professional		$52.49	$52.49	$53.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $102.88	Facility		$52.49	$52.49	$102.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $52.49	Facility		$49.52	$49.52	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $64.17	Professional		$52.49	$52.49	$64.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $64.22 / $144.00	Professional		$49.40	$64.22	$144.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $89.23 / $108.12	Professional		$49.86	$89.23	$108.12
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $65.61	Professional		$52.49	$55.64	$65.61