Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $164.64 / $324.16	Facility		$68.00	$164.64	$324.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $81.13 / $145.60	Professional		$41.45	$81.13	$145.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $113.00 / $353.82	Facility		$66.59	$113.00	$353.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $40.90 / $200.64	Professional		$30.67	$40.90	$200.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $143.16 / $219.86	Facility		$102.26	$143.16	$219.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $122.71 / $132.94	Professional		$102.26	$122.71	$132.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $166.18 / $321.69	Facility		$101.91	$166.18	$321.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $155.94 / $574.60	Professional		$46.67	$155.94	$574.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $132.94 / $796.85	Professional		$92.03	$132.94	$796.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $608.69 / $608.69 / $608.69	Facility		$608.69	$608.69	$608.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $143.16 / $189.18	Professional		$123.73	$143.16	$189.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $185.82	Professional		$42.95	$61.36	$185.82