Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $97.32 / $232.58	Facility		$48.79	$97.32	$232.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $63.83 / $81.97	Professional		$44.02	$63.83	$81.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $79.97 / $253.86	Facility		$50.10	$79.97	$253.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $67.59 / $129.99	Professional		$22.63	$67.59	$129.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $106.39 / $157.69	Facility		$73.37	$106.39	$157.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $129.57 / $226.73	Facility		$73.20	$129.57	$226.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $65.14 / $219.62	Professional		$34.78	$65.14	$219.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $100.77 / $571.15	Professional		$73.37	$100.77	$571.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $102.72 / $135.72	Professional		$88.78	$102.72	$135.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $128.43	Professional		$30.82	$44.02	$128.43