Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.16 / $197.11 / $339.19	Facility		$71.16	$197.11	$339.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $71.16 / $90.95	Professional		$64.20	$71.16	$90.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $121.91 / $224.85	Facility		$80.25	$121.91	$224.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $135.44 / $209.93	Professional		$101.58	$135.44	$209.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $155.15 / $229.97	Facility		$107.00	$155.15	$229.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $235.40 / $330.19	Facility		$159.85	$235.40	$330.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $601.90 / $601.90	Professional		$62.60	$601.90	$601.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $191.26 / $834.97	Professional		$96.30	$191.26	$834.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $143.38 / $197.95	Professional		$107.00	$143.38	$197.95
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $194.43	Professional		$44.94	$64.20	$194.43