Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $170.66 / $301.12	Facility		$63.17	$170.66	$301.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $66.48 / $106.13	Professional		$45.23	$66.48	$106.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $104.96 / $328.67	Facility		$61.86	$104.96	$328.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $38.00 / $186.37	Professional		$28.50	$38.00	$186.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $137.74 / $204.15	Facility		$94.99	$137.74	$204.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $149.41 / $263.31	Facility		$58.00	$149.41	$263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $144.93 / $533.71	Professional		$43.39	$144.93	$533.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $123.49 / $739.76	Professional		$85.49	$123.49	$739.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $132.99 / $175.73	Professional		$114.94	$132.99	$175.73
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $172.61	Professional		$39.90	$56.99	$172.61