Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $75.28 / $176.70	Facility		$37.07	$75.28	$176.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $51.84 / $108.11	Professional		$37.07	$51.84	$108.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $60.75 / $192.86	Facility		$37.02	$60.75	$192.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $90.72	Professional		$22.30	$22.30	$90.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $78.04 / $119.84	Facility		$55.74	$78.04	$119.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $66.89 / $72.45	Professional		$55.74	$66.89	$72.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $90.58 / $154.22	Facility		$55.47	$90.58	$154.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $74.34 / $145.47	Professional		$25.82	$74.34	$145.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $79.15 / $435.17	Professional		$55.74	$79.15	$435.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $68.56 / $103.12	Professional		$54.24	$68.56	$103.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $101.29	Professional		$23.41	$33.44	$101.29