Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $87.60 / $207.13	Facility		$43.45	$87.60	$207.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $60.77 / $77.50	Professional		$43.45	$60.77	$77.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $70.95 / $226.08	Facility		$43.39	$70.95	$226.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $55.53 / $115.57	Professional		$19.60	$55.53	$115.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $91.48 / $140.47	Facility		$65.34	$91.48	$140.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $78.41 / $84.94	Professional		$65.34	$78.41	$84.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $106.18 / $181.50	Facility		$58.00	$106.18	$181.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $86.21 / $253.55	Professional		$29.83	$86.21	$253.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $89.54 / $508.59	Professional		$65.34	$89.54	$508.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $91.48 / $120.88	Professional		$79.06	$91.48	$120.88
United Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.93 / $114.38	Professional		$27.44	$35.93	$114.38