Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $91.83 / $180.82	Facility		$37.93	$91.83	$180.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $54.76 / $97.19	Professional		$9.11	$54.76	$97.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.03 / $197.36	Facility		$37.15	$63.03	$197.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $22.82 / $111.92	Professional		$17.11	$22.82	$111.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $79.86 / $122.64	Facility		$57.04	$79.86	$122.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $68.45 / $74.15	Professional		$57.04	$68.45	$74.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $92.70 / $175.56	Facility		$58.00	$92.70	$175.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $87.02 / $321.42	Professional		$25.97	$87.02	$321.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $74.15 / $443.30	Professional		$51.34	$74.15	$443.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $79.86 / $105.52	Professional		$69.02	$79.86	$105.52
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $103.65	Professional		$23.96	$34.22	$103.65