Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $105.07 / $185.41	Facility		$38.90	$105.07	$185.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $45.62 / $65.34	Professional		$29.25	$45.62	$65.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $64.63 / $202.38	Facility		$38.09	$64.63	$202.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.40 / $114.76	Professional		$17.55	$23.40	$114.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $84.81 / $125.70	Facility		$58.49	$84.81	$125.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $92.00 / $162.69	Facility		$58.00	$92.00	$162.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $89.23 / $329.21	Professional		$26.69	$89.23	$329.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $76.04 / $456.89	Professional		$52.64	$76.04	$456.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $81.89 / $108.21	Professional		$70.77	$81.89	$108.21
United Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $52.64	Facility		$52.64	$52.64	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $120.45	Professional		$24.57	$35.09	$120.45