Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $7,640.74 / $19,381.64	Facility		$46.74	$7,640.74	$19,381.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $60.38	Professional		$43.28	$47.55	$60.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $77.41 / $174.51	Facility		$47.55	$77.41	$174.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $48.50	Professional		$47.55	$47.55	$48.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $76.08	Facility		$47.55	$47.55	$76.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $76.08	Professional		$43.28	$47.55	$76.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $41.89 / $47.55	Facility		$41.89	$41.89	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $56.54	Professional		$47.55	$47.55	$56.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $38.15 / $191.00	Professional		$34.69	$38.15	$191.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $80.83 / $106.70	Professional		$45.17	$80.83	$106.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $63.29	Professional		$47.55	$50.40	$63.29