Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $39.86	Facility		$38.54	$38.54	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.40	Professional		$38.54	$38.54	$42.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $39.31	Professional		$38.54	$38.54	$39.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $75.54	Facility		$38.54	$38.54	$75.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $38.54	Facility		$36.36	$36.36	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $49.09	Professional		$38.54	$38.54	$49.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $44.84 / $99.00	Professional		$44.84	$44.84	$99.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $71.30 / $239.19	Professional		$65.52	$71.30	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $67.45	Professional		$38.54	$38.54	$67.45