Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $62.81 / $169.50	Facility		$35.56	$62.81	$169.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $49.73 / $116.03	Professional		$35.56	$49.73	$116.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $58.06 / $185.01	Facility		$35.51	$58.06	$185.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $79.25	Professional		$21.39	$21.39	$79.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $77.53 / $114.93	Facility		$53.47	$77.53	$114.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $86.90 / $148.59	Facility		$53.21	$86.90	$148.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $62.17 / $139.56	Professional		$24.07	$62.17	$139.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $75.93 / $416.12	Professional		$53.47	$75.93	$416.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $65.77 / $95.44	Professional		$52.03	$65.77	$95.44
United Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Facility		$48.12	$48.12	$48.12
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $32.08 / $97.16	Professional		$22.46	$32.08	$97.16