Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $71.91	Professional		$68.48	$68.48	$71.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $69.84	Professional		$68.48	$68.48	$69.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $134.24	Facility		$68.48	$68.48	$134.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $64.61 / $68.48	Facility		$64.61	$64.61	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $87.22	Professional		$68.48	$68.48	$87.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $193.00	Professional		$68.48	$68.48	$193.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $126.70 / $239.19	Professional		$116.43	$126.70	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $91.17	Professional		$68.48	$68.48	$91.17