Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $84.17 / $148.99	Facility		$31.26	$84.17	$148.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $39.31 / $75.67	Professional		$31.26	$39.31	$75.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $51.94 / $162.62	Facility		$30.61	$51.94	$162.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $18.80 / $92.21	Professional		$14.10	$18.80	$92.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $68.15 / $101.01	Facility		$47.00	$68.15	$101.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $74.22 / $130.72	Facility		$46.76	$74.22	$130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $71.64 / $264.91	Professional		$21.47	$71.64	$264.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $61.10 / $367.15	Professional		$42.30	$61.10	$367.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $65.80 / $86.95	Professional		$56.87	$65.80	$86.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $82.27	Professional		$19.73	$28.20	$82.27