Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $172.68 / $308.19	Facility		$64.65	$172.68	$308.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $90.41 / $108.61	Professional		$64.65	$90.41	$108.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $107.43 / $336.38	Facility		$63.31	$107.43	$336.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $38.89 / $190.75	Professional		$25.33	$38.89	$190.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $140.97 / $208.97	Facility		$97.22	$140.97	$208.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $157.97 / $269.89	Facility		$72.45	$157.97	$269.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $148.24 / $547.36	Professional		$44.37	$148.24	$547.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $126.39 / $758.82	Professional		$87.50	$126.39	$758.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $136.11 / $179.86	Professional		$117.64	$136.11	$179.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $176.66	Professional		$40.83	$58.33	$176.66