Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $56.02 / $91.98	Facility		$32.46	$56.02	$91.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $53.56 / $106.96	Professional		$30.94	$53.56	$106.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $49.29 / $88.18	Professional		$31.46	$49.29	$88.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $86.28 / $86.28	Facility		$86.28	$86.28	$86.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $2,500.00	Facility		$53.23	$53.23	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $63.96 / $126.26	Professional		$39.15	$63.96	$126.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $66.14 / $349.99	Professional		$36.42	$66.14	$349.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $56.15 / $103.29	Professional		$44.88	$56.15	$103.29
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $71.48 / $127.88	Professional		$44.12	$71.48	$127.88