Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $406.00 / $525.00	Facility		$30.00	$406.00	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $701.12	Professional		$30.00	$45.00	$701.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $301.00 / $675.01	Professional		$214.20	$301.00	$675.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $213.26 / $548.30	Facility		$142.16	$213.26	$548.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $456.00 / $661.74	Professional		$288.00	$456.00	$661.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $567.98 / $882.00	Professional		$301.00	$567.98	$882.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $30.14 / $97.34	Professional		$9.00	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $74.00 / $89.76	Professional		$52.00	$74.00	$89.76