Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $115.03 / $428.35	Facility		$43.46	$115.03	$428.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $66.98 / $93.45	Professional		$43.46	$66.98	$93.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $83.50 / $226.15	Facility		$47.17	$83.50	$226.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $58.82 / $142.47	Professional		$24.21	$58.82	$142.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $91.50 / $140.52	Facility		$65.36	$91.50	$140.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $78.43 / $84.97	Professional		$65.36	$78.43	$84.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $106.20 / $201.67	Facility		$65.14	$106.20	$201.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $92.30 / $277.38	Professional		$32.57	$92.30	$277.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $89.56 / $508.59	Professional		$65.36	$89.56	$508.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $91.50 / $120.92	Professional		$79.09	$91.50	$120.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $44.59 / $118.77	Professional		$27.45	$44.59	$118.77