Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $79.89	Professional		$76.09	$76.09	$79.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $77.61	Professional		$76.09	$76.09	$77.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $149.13	Facility		$76.09	$76.09	$149.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $71.78 / $76.09	Facility		$71.78	$71.78	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $96.91	Professional		$76.09	$76.09	$96.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $400.00	Professional		$85.03	$85.03	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $140.76 / $239.19	Professional		$129.35	$140.76	$239.19
United Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $168.38 / $168.38	Facility		$86.35	$168.38	$168.38
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $116.42	Professional		$76.09	$76.09	$116.42