Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $114.93 / $202.75	Facility		$42.53	$114.93	$202.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $65.56 / $81.06	Professional		$42.53	$65.56	$81.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $70.68 / $221.30	Facility		$41.65	$70.68	$221.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $25.58 / $125.49	Professional		$19.18	$25.58	$125.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $89.54 / $137.51	Facility		$63.96	$89.54	$137.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $76.75 / $83.15	Professional		$63.96	$76.75	$83.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $100.61 / $177.75	Facility		$58.00	$100.61	$177.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $97.49 / $360.34	Professional		$29.08	$97.49	$360.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $83.15 / $497.73	Professional		$57.56	$83.15	$497.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $89.54 / $118.33	Professional		$77.39	$89.54	$118.33
United Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $57.56	Facility		$57.56	$57.56	$57.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $111.96	Professional		$26.86	$38.38	$111.96