Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $160.78 / $480.38	Facility		$102.31	$160.78	$480.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.31 / $165.28	Professional		$89.13	$102.31	$165.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.22 / $210.31 / $247.43	Facility		$116.22	$210.31	$247.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $195.61 / $394.29	Professional		$124.57	$195.61	$394.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $128.13 / $324.36	Facility		$52.85	$128.13	$324.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $187.57 / $316.00	Facility		$130.11	$187.57	$316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $189.97 / $397.79	Professional		$112.59	$189.97	$397.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $132.77 / $661.04	Professional		$120.70	$132.77	$661.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $188.12 / $468.90	Professional		$49.83	$188.12	$468.90
United Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $307.39 / $527.20	Professional		$223.84	$307.39	$527.20