Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $50.27 / $239.65	Facility		$38.61	$50.27	$239.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $60.48 / $84.45	Professional		$45.36	$60.48	$84.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $82.09 / $261.58	Facility		$30.24	$82.09	$261.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $30.24 / $145.15	Professional		$22.68	$30.24	$145.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $105.84 / $148.18	Facility		$39.53	$105.84	$148.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $133.15 / $209.73	Facility		$66.00	$133.15	$209.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $60.51 / $195.05	Professional		$15.09	$60.51	$195.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $103.90 / $590.20	Professional		$75.59	$103.90	$590.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $92.99 / $134.94	Professional		$75.59	$92.99	$134.94
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $31.75 / $94.50	Professional		$14.97	$31.75	$94.50