Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $250.43 / $250.43	Facility		$101.40	$250.43	$250.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $72.68 / $90.85	Professional		$47.40	$72.68	$90.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $79.00 / $101.31	Facility		$31.60	$79.00	$101.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $31.60 / $97.96	Professional		$25.28	$31.60	$97.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $114.55 / $169.80	Facility		$79.00	$114.55	$169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.02 / $173.80 / $243.46	Facility		$118.02	$173.80	$243.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $444.09 / $444.09	Professional		$63.20	$444.09	$444.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $102.70 / $614.65	Professional		$79.00	$102.70	$614.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $105.86 / $146.15	Professional		$79.00	$105.86	$146.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $138.29	Professional		$33.18	$47.40	$138.29