Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $50.72 / $50.72	Facility		$50.72	$50.72	$50.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $53.25	Professional		$50.72	$50.72	$53.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $51.73	Professional		$50.72	$50.72	$51.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $50.72 / $99.41	Facility		$50.72	$50.72	$99.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $47.84 / $50.71	Facility		$47.84	$47.84	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $64.59	Professional		$50.71	$50.71	$64.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $52.05 / $116.00	Professional		$52.05	$52.05	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $93.82 / $239.19	Professional		$86.22	$93.82	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $88.76	Professional		$50.72	$50.72	$88.76