Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $145.99 / $290.56	Facility		$60.95	$145.99	$290.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $79.73 / $87.99	Professional		$60.95	$79.73	$87.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $108.65 / $279.25	Facility		$66.23	$108.65	$279.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $45.27 / $179.00	Professional		$36.65	$45.27	$179.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $132.91 / $197.01	Facility		$91.66	$132.91	$197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $201.65 / $282.14	Facility		$136.94	$201.65	$282.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $516.16 / $516.16	Professional		$59.58	$516.16	$516.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $163.52 / $715.32	Professional		$82.49	$163.52	$715.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $122.82 / $169.57	Professional		$91.66	$122.82	$169.57
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $56.59 / $160.44	Professional		$38.50	$56.59	$160.44