Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $76.81 / $138.37	Facility		$29.03	$76.81	$138.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $43.65 / $50.20	Professional		$29.03	$43.65	$50.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $55.76 / $151.03	Facility		$31.50	$55.76	$151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $43.65 / $95.16	Professional		$16.17	$43.65	$95.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.29 / $93.82	Facility		$43.65	$63.29	$93.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $70.93 / $134.79	Facility		$43.54	$70.93	$134.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $61.80 / $185.29	Professional		$21.77	$61.80	$185.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $59.84 / $339.97	Professional		$43.65	$59.84	$339.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $61.11 / $80.75	Professional		$52.82	$61.11	$80.75
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $29.78 / $79.31	Professional		$18.32	$29.78	$79.31