Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $83.59 / $147.72	Facility		$30.99	$83.59	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $40.54 / $52.06	Professional		$30.99	$40.54	$52.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $54.96 / $161.24	Facility		$30.35	$54.96	$161.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $39.61 / $246.04	Professional		$15.85	$39.61	$246.04
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 $52.17 / $102.52 / $261.30	Facility		$52.17	$102.52	$261.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $72.70 / $262.94	Professional		$21.69	$72.70	$262.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $60.58 / $364.41	Professional		$41.94	$60.58	$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 Facility Modifier Low / Median / High Price $41.94 / $41.94 / $41.94	Facility		$41.94	$41.94	$41.94
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.60 / $81.56	Professional		$19.57	$29.60	$81.56