Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $47.42 / $47.42	Facility		$47.42	$47.42	$47.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $47.42 / $48.56	Professional		$46.28	$47.42	$48.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $1,497.47	Professional		$147.22	$147.22	$1,497.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $49.99 / $49.99	Facility		$48.56	$49.99	$49.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $147.22	Facility		$48.56	$48.56	$147.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $70.41	Professional		$48.56	$48.56	$70.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $272.36	Professional		$192.97	$239.19	$272.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,670.86 / $4,334.77 / $4,334.77	Facility		$1,670.86	$4,334.77	$4,334.77
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $76.05	Professional		$57.13	$57.13	$76.05