Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $52.75 / $9,455.54	Facility		$48.46	$52.75	$9,455.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.39	Professional		$52.75	$52.75	$55.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $53.80	Professional		$52.75	$52.75	$53.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $103.39	Facility		$52.75	$52.75	$103.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $49.77 / $52.75	Facility		$49.77	$49.77	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $67.18	Professional		$52.75	$52.75	$67.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $101.00	Professional		$48.45	$48.45	$101.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $97.59 / $239.19	Professional		$43.00	$97.59	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $61.14	Professional		$52.75	$52.75	$61.14