Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $92.30 / $163.10	Facility		$34.21	$92.30	$163.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $82.83	Professional		$32.50	$39.31	$82.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $65.73 / $178.02	Facility		$45.28	$65.73	$178.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $55.81 / $173.01	Professional		$35.15	$55.81	$173.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $72.03 / $110.62	Facility		$51.45	$72.03	$110.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $61.74 / $66.89	Professional		$51.45	$61.74	$66.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $83.60 / $158.83	Facility		$55.28	$83.60	$158.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $78.80 / $290.23	Professional		$23.50	$78.80	$290.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $66.89 / $399.79	Professional		$46.31	$66.89	$399.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $72.03 / $95.18	Professional		$62.25	$72.03	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $90.06	Professional		$21.61	$30.87	$90.06