Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $4,576.00	Facility		$30.23	$30.23	$4,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.53 / $55.32	Professional		$30.23	$30.53	$55.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.83	Professional		$30.23	$30.23	$30.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $59.25	Facility		$30.23	$30.23	$59.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $30.23	Facility		$28.52	$28.52	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $38.50	Professional		$30.23	$30.23	$38.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $69.98	Professional		$30.48	$30.48	$69.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $55.93 / $239.19	Professional		$51.39	$55.93	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $49.74	Professional		$30.23	$30.23	$49.74