Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $83.69 / $9,067.50	Facility		$69.37	$83.69	$9,067.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $89.11	Professional		$69.37	$69.37	$89.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $110.99 / $254.59	Facility		$69.37	$110.99	$254.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $70.75	Professional		$69.37	$69.37	$70.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $135.97	Facility		$69.37	$69.37	$135.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $69.37	Facility		$63.71	$63.71	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $86.00	Professional		$69.37	$69.37	$86.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $247.00	Professional		$71.98	$71.98	$247.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $98.94 / $142.90	Professional		$55.43	$98.94	$142.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.20 / $87.26	Professional		$69.37	$70.20	$87.26