Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $44.19 / $44.19	Facility		$44.19	$44.19	$44.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $44.19 / $45.25	Professional		$42.59	$44.19	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $12.89 / $3,990.27	Professional		$6.70	$12.89	$3,990.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $46.59 / $46.59	Facility		$45.25	$46.59	$46.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $36.70	Professional		$30.58	$30.58	$36.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $67.87	Professional		$44.36	$44.36	$67.87