Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $149.18 / $279.30	Facility		$55.20	$149.18	$279.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $76.36 / $92.74	Professional		$55.20	$76.36	$92.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $91.30 / $287.18	Facility		$54.05	$91.30	$287.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $33.20 / $162.85	Professional		$24.90	$33.20	$162.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $120.35 / $178.40	Facility		$83.00	$120.35	$178.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $146.29 / $255.99	Facility		$66.00	$146.29	$255.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $95.19 / $320.75	Professional		$37.79	$95.19	$320.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $114.02 / $647.29	Professional		$83.00	$114.02	$647.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $116.20 / $153.55	Professional		$100.43	$116.20	$153.55
United Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $74.70 / $74.70	Facility		$74.70	$74.70	$74.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.80 / $145.29	Professional		$34.86	$49.80	$145.29