Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $179.62 / $320.55	Facility		$67.23	$179.62	$320.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $87.97 / $182.02	Professional		$15.29	$87.97	$182.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $111.74 / $349.88	Facility		$65.84	$111.74	$349.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $72.81 / $186.05	Professional		$30.33	$72.81	$186.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $146.62 / $217.34	Facility		$101.12	$146.62	$217.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $164.33 / $311.39	Facility		$100.94	$164.33	$311.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $135.74 / $568.79	Professional		$46.08	$135.74	$568.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $131.46 / $788.73	Professional		$91.01	$131.46	$788.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $141.57 / $187.07	Professional		$122.36	$141.57	$187.07
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $184.75	Professional		$42.47	$60.67	$184.75