Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $117.49 / $251.19	Facility		$40.74	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $85.11	Professional		$25.12	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $79.43 / $97.72	Facility		$30.20	$79.43	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $93.33	Professional		$25.70	$30.20	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $123.03 / $229.09	Facility		$66.07	$123.03	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $48.98 / $199.53	Professional		$15.14	$48.98	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $588.84	Professional		$67.61	$97.72	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $162.18	Professional		$75.86	$93.33	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $67.61 / $75.86	Facility		$16.60	$67.61	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.62 / $91.20	Professional		$15.14	$31.62	$91.20