Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $207.60 / $365.69	Facility		$93.71	$207.60	$365.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $98.08 / $110.75	Professional		$37.32	$98.08	$110.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $127.47 / $399.15	Facility		$77.04	$127.47	$399.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $56.97 / $176.60	Professional		$42.72	$56.97	$176.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $161.50 / $226.11	Facility		$87.96	$161.50	$226.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $253.79 / $355.29	Facility		$102.86	$253.79	$355.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $132.57 / $345.39	Professional		$17.85	$132.57	$345.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $149.97 / $900.26	Professional		$103.82	$149.97	$900.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $141.88 / $205.92	Professional		$115.36	$141.88	$205.92
United Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $66.09 / $144.19	Facility		$63.45	$66.09	$144.19
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.22 / $170.22	Professional		$48.45	$69.22	$170.22