Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $10,000.00	Facility		$54.95	$117.49	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $74.13	Professional		$54.95	$54.95	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $302.00	Facility		$54.95	$91.20	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $54.95	Facility		$50.12	$50.12	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $67.61	Professional		$54.95	$54.95	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $173.78	Professional		$54.95	$54.95	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $109.65	Professional		$30.20	$56.23	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $204.17	Facility		$74.13	$144.54	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $77.62	Professional		$54.95	$58.88	$77.62