Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.65 / $387.44	Facility		$81.28	$194.65	$387.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.44 / $136.55	Professional		$81.28	$112.44	$136.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $150.88 / $422.88	Facility		$88.21	$150.88	$422.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $128.33 / $248.96	Professional		$45.27	$128.33	$248.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $177.22 / $262.69	Facility		$122.22	$177.22	$262.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.90 / $215.55 / $377.23	Facility		$121.90	$215.55	$377.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $111.08 / $365.71	Professional		$61.07	$111.08	$365.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $171.41 / $951.88	Professional		$122.22	$171.41	$951.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $171.11 / $226.11	Professional		$147.88	$171.11	$226.11
United Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $75.45 / $213.95	Professional		$51.33	$75.45	$213.95