Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $153.24 / $303.69	Facility		$63.71	$153.24	$303.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $88.14 / $131.56	Professional		$63.71	$88.14	$131.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $105.86 / $331.47	Facility		$63.04	$105.86	$331.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $63.04 / $130.26	Professional		$42.02	$63.04	$130.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $134.12 / $205.97	Facility		$95.80	$134.12	$205.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $114.96 / $124.54	Professional		$95.80	$114.96	$124.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $155.68 / $266.14	Facility		$75.87	$155.68	$266.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $109.18 / $288.75	Professional		$47.79	$109.18	$288.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $124.54 / $747.89	Professional		$86.22	$124.54	$747.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $605.45 / $1,261.90 / $1,274.00	Facility		$605.45	$1,261.90	$1,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.48 / $167.70	Professional		$40.24	$57.48	$167.70