Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $185.25 / $645.00	Facility		$43.68	$185.25	$645.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $57.15 / $98.53	Professional		$43.68	$57.15	$98.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $71.59 / $227.29	Facility		$43.62	$71.59	$227.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $53.70 / $127.54	Professional		$19.71	$53.70	$127.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $91.97 / $141.22	Facility		$65.69	$91.97	$141.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $78.83 / $85.40	Professional		$65.69	$78.83	$85.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $106.75 / $182.45	Facility		$63.89	$106.75	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $88.33 / $254.82	Professional		$30.10	$88.33	$254.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $90.10 / $511.32	Professional		$65.69	$90.10	$511.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $715.25 / $859.12 / $1,071.08	Facility		$715.25	$859.12	$1,071.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $91.97 / $121.53	Professional		$79.48	$91.97	$121.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $114.99	Professional		$27.59	$39.40	$114.99