Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $156.68 / $279.58	Facility		$58.65	$156.68	$279.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $76.73 / $98.53	Professional		$52.92	$76.73	$98.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $97.46 / $305.17	Facility		$57.44	$97.46	$305.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $35.28 / $173.05	Professional		$22.22	$35.28	$173.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $127.89 / $189.56	Facility		$88.20	$127.89	$189.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $138.74 / $244.50	Facility		$58.00	$138.74	$244.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $134.46 / $496.71	Professional		$40.26	$134.46	$496.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $114.66 / $688.06	Professional		$79.38	$114.66	$688.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $123.48 / $163.16	Professional		$106.72	$123.48	$163.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $181.64	Professional		$37.04	$52.92	$181.64