Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $65.41 / $65.41	Facility		$49.08	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $71.95	Professional		$65.41	$65.41	$71.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $66.70	Professional		$65.41	$65.41	$66.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $128.19	Facility		$65.41	$65.41	$128.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $61.70 / $65.40	Facility		$61.70	$61.70	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $83.30	Professional		$65.40	$65.40	$83.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.41 / $145.00	Professional		$65.40	$65.41	$145.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $121.00 / $239.19	Professional		$111.19	$121.00	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $94.75	Professional		$65.41	$65.41	$94.75