Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $569.47 / $786.08	Facility		$40.65	$569.47	$786.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $96.00	Professional		$40.65	$41.20	$96.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $44.11 / $44.11	Facility		$40.65	$44.11	$44.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $39.53 / $40.65	Professional		$37.45	$39.53	$40.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $79.67	Facility		$40.65	$40.65	$79.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $51.78	Professional		$40.65	$40.65	$51.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $49.93 / $118.06	Professional		$41.60	$49.93	$118.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $50.53 / $74.38	Professional		$40.21	$50.53	$74.38
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.16	Professional		$40.65	$40.65	$56.16