Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $75.34 / $147.72	Facility		$30.99	$75.34	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $40.54 / $53.59	Professional		$30.99	$40.54	$53.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $58.40 / $161.24	Facility		$33.63	$58.40	$161.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $46.60 / $101.59	Professional		$15.85	$46.60	$101.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $67.56 / $100.16	Facility		$46.60	$67.56	$100.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $75.73 / $133.99	Facility		$46.44	$75.73	$133.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $62.76 / $181.96	Professional		$23.22	$62.76	$181.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $63.74 / $364.41	Professional		$46.60	$63.74	$364.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $65.23 / $86.21	Professional		$56.39	$65.23	$86.21
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.20 / $84.68	Professional		$19.57	$29.20	$84.68