Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $232.00 / $300.00	Facility		$30.00	$232.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $388.00	Professional		$30.00	$45.00	$388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $172.00 / $385.72	Professional		$122.40	$172.00	$385.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $121.86 / $313.32	Facility		$81.23	$121.86	$313.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $228.00 / $330.87	Professional		$144.00	$228.00	$330.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $324.56 / $504.00	Professional		$172.00	$324.56	$504.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $30.14 / $97.34	Professional		$4.50	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.00 / $88.00	Professional		$52.00	$72.00	$88.00