Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $76.81 / $217.30	Facility		$45.59	$76.81	$217.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $59.64 / $76.81	Professional		$45.59	$59.64	$76.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $74.44 / $237.18	Facility		$45.21	$74.44	$237.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $51.41 / $113.29	Professional		$20.56	$51.41	$113.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $99.40 / $147.33	Facility		$68.55	$99.40	$147.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $111.40 / $189.98	Facility		$58.00	$111.40	$189.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $86.21 / $264.95	Professional		$30.00	$86.21	$264.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $93.97 / $533.03	Professional		$68.55	$93.97	$533.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $95.97 / $126.82	Professional		$82.95	$95.97	$126.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $41.13 / $120.00	Professional		$28.79	$41.13	$120.00