Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $68.66	Professional		$62.41	$62.41	$68.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $63.65	Professional		$62.41	$62.41	$63.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $122.32	Facility		$62.41	$62.41	$122.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $62.41	Facility		$58.88	$58.88	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $79.48	Professional		$62.41	$62.41	$79.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $59.54 / $218.00	Professional		$59.54	$59.54	$218.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $115.47 / $239.19	Professional		$106.10	$115.47	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $92.70	Professional		$62.41	$62.41	$92.70