Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $2,490.69	Facility		$67.27	$67.27	$2,490.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $70.64	Professional		$67.27	$67.27	$70.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $68.61	Professional		$67.27	$67.27	$68.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $131.85	Facility		$67.27	$67.27	$131.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $67.27	Facility		$63.47	$63.47	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $85.68	Professional		$67.27	$67.27	$85.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $75.45 / $388.00	Professional		$75.45	$75.45	$388.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $124.46 / $239.19	Professional		$114.36	$124.46	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $117.72	Professional		$67.27	$67.27	$117.72