Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $192.06 / $369.95	Facility		$72.56	$192.06	$369.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $101.49 / $411.60	Professional		$72.56	$101.49	$411.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $139.41 / $377.59	Facility		$78.77	$139.41	$377.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $98.21 / $241.18	Professional		$40.40	$98.21	$241.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $158.24 / $234.54	Facility		$109.13	$158.24	$234.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $177.33 / $336.46	Facility		$97.31	$177.33	$336.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $154.10 / $462.67	Professional		$54.34	$154.10	$462.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $149.56 / $851.29	Professional		$109.13	$149.56	$851.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $152.78 / $201.89	Professional		$132.05	$152.78	$201.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $74.44 / $199.38	Professional		$45.83	$74.44	$199.38