Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $55.65	Professional		$53.00	$53.00	$55.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $57.24	Professional		$53.00	$53.00	$57.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $103.88	Facility		$53.00	$53.00	$103.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $53.00	Facility		$50.00	$50.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $67.50	Professional		$53.00	$53.00	$67.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $76.97 / $412.00	Professional		$76.97	$76.97	$412.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $98.05 / $239.19	Professional		$90.10	$98.05	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $92.75	Professional		$53.00	$53.00	$92.75