Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $110.29 / $195.02	Facility		$40.90	$110.29	$195.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $53.52 / $68.73	Professional		$36.90	$53.52	$68.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $67.98 / $212.86	Facility		$40.06	$67.98	$212.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $44.29 / $107.66	Professional		$18.45	$44.29	$107.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $89.20 / $132.22	Facility		$61.52	$89.20	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $96.77 / $171.17	Facility		$58.00	$96.77	$171.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $82.75 / $346.75	Professional		$28.04	$82.75	$346.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $79.98 / $478.67	Professional		$55.37	$79.98	$478.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $86.13 / $113.81	Professional		$74.44	$86.13	$113.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $107.69	Professional		$25.84	$36.90	$107.69