Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $111.41	Facility		$60.08	$60.08	$111.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $69.09	Professional		$57.90	$60.08	$69.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $65.45 / $65.45	Facility		$60.32	$65.45	$65.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $68.76 / $136.58	Professional		$60.32	$68.76	$136.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $63.33 / $88.67	Facility		$61.52	$63.33	$88.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $85.00	Facility		$61.52	$61.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $66.79	Professional		$61.52	$61.52	$66.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $75.89 / $261.41	Professional		$61.52	$75.89	$261.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $112.60 / $130.00	Professional		$107.20	$112.60	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $72.38	Professional		$60.32	$60.32	$72.38