Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $69.18	Professional		$65.88	$65.88	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $67.19	Professional		$65.88	$65.88	$67.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $129.12	Facility		$65.88	$65.88	$129.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $65.88	Facility		$62.15	$62.15	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $83.91	Professional		$65.88	$65.88	$83.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $64.05 / $76.86	Professional		$64.04	$64.05	$76.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $121.88 / $239.19	Professional		$112.00	$121.88	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $165.47	Professional		$65.88	$65.88	$165.47