Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $90.73 / $161.88	Facility		$33.96	$90.73	$161.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $49.03 / $71.81	Professional		$33.96	$49.03	$71.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $56.43 / $176.70	Facility		$33.26	$56.43	$176.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.43 / $100.20	Professional		$15.32	$20.43	$100.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $74.05 / $109.77	Facility		$51.07	$74.05	$109.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $83.00 / $157.78	Facility		$57.32	$83.00	$157.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $78.20 / $288.26	Professional		$23.34	$78.20	$288.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $66.39 / $397.06	Professional		$45.96	$66.39	$397.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $71.50 / $94.48	Professional		$61.79	$71.50	$94.48
United Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $45.96 / $45.96	Facility		$45.96	$45.96	$45.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $89.40	Professional		$21.45	$30.64	$89.40