Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $266.55 / $14,017.14	Facility		$75.03	$266.55	$14,017.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $92.33	Professional		$75.03	$75.78	$92.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $120.03 / $275.32	Facility		$75.02	$120.03	$275.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $87.67	Professional		$75.03	$75.03	$87.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $75.03 / $121.89	Facility		$75.03	$75.03	$121.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.18 / $120.05	Professional		$75.03	$76.18	$120.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $75.02	Facility		$70.78	$70.78	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $106.17	Professional		$75.02	$75.02	$106.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $105.75 / $194.17	Professional		$77.05	$105.75	$194.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $124.92 / $159.76	Professional		$73.48	$124.92	$159.76
United Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $147.60 / $147.60	Facility		$75.69	$147.60	$147.60
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $78.03 / $99.87	Professional		$75.03	$78.03	$99.87