Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.13 / $127.13 / $267.29	Facility		$102.13	$127.13	$267.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $102.13 / $153.86	Professional		$90.43	$102.13	$153.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $148.88 / $175.81	Facility		$83.80	$148.88	$175.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $171.54 / $326.20	Professional		$94.08	$171.54	$326.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $82.69 / $100.42	Facility		$51.94	$82.69	$100.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $45.56 / $45.56	Professional		$45.56	$45.56	$45.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $130.49 / $316.00	Facility		$61.60	$130.49	$316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $182.16 / $307.52	Professional		$114.17	$182.16	$307.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $138.16 / $352.60	Professional		$125.61	$138.16	$352.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $212.30 / $212.30	Professional		$168.50	$212.30	$212.30
United Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $157.74 / $288.68	Professional		$112.50	$157.74	$288.68