Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $87.03 / $184.50	Facility		$31.42	$87.03	$184.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $39.31 / $77.75	Professional		$31.42	$39.31	$77.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $52.21 / $163.49	Facility		$30.77	$52.21	$163.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $18.89 / $92.71	Professional		$14.17	$18.89	$92.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $66.15 / $101.59	Facility		$47.25	$66.15	$101.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $56.70 / $61.43	Professional		$47.25	$56.70	$61.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $76.78 / $130.72	Facility		$47.08	$76.78	$130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $72.19 / $266.88	Professional		$21.53	$72.19	$266.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $61.43 / $367.15	Professional		$42.53	$61.43	$367.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $66.15 / $87.41	Professional		$57.17	$66.15	$87.41
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $82.71	Professional		$19.85	$28.35	$82.71