Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $74.23	Professional		$70.70	$70.70	$74.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $72.11	Professional		$70.70	$70.70	$72.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $138.57	Facility		$70.70	$70.70	$138.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $66.69 / $70.70	Facility		$66.69	$66.69	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $90.04	Professional		$70.70	$70.70	$90.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $72.64 / $589.00	Professional		$72.64	$72.64	$589.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $130.79 / $239.19	Professional		$120.18	$130.79	$239.19
United Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $143.40 / $143.40	Facility		$73.54	$143.40	$143.40
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $116.66	Professional		$70.70	$70.70	$116.66