Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $7,336.38 / $53,504.00	Facility		$29.91	$7,336.38	$53,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $31.41	Professional		$29.91	$29.91	$31.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $30.50	Professional		$29.91	$29.91	$30.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $58.62	Facility		$29.91	$29.91	$58.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $28.22 / $29.91	Facility		$28.22	$28.22	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $38.10	Professional		$29.91	$29.91	$38.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $82.00	Professional		$30.59	$30.59	$82.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $55.34 / $239.19	Professional		$50.85	$55.34	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $34.67	Professional		$29.91	$29.91	$34.67