Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $71.55 / $71.55	Facility		$18.19	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $78.70	Professional		$71.55	$71.55	$78.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $72.98	Professional		$71.55	$71.55	$72.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $140.24	Facility		$71.55	$71.55	$140.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $71.55	Facility		$67.50	$67.50	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $91.13	Professional		$71.55	$71.55	$91.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $88.55 / $116.00	Professional		$88.55	$88.55	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $132.37 / $239.19	Professional		$121.64	$132.37	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $92.47	Professional		$71.55	$71.55	$92.47