Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $77.06 / $185.83	Facility		$38.97	$77.06	$185.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $54.52 / $108.11	Professional		$38.97	$54.52	$108.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $63.90 / $202.83	Facility		$38.93	$63.90	$202.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $23.45 / $93.87	Professional		$23.45	$23.45	$93.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $85.00 / $126.00	Facility		$58.62	$85.00	$126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $95.25 / $162.69	Facility		$58.00	$95.25	$162.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $76.51 / $153.00	Professional		$26.79	$76.51	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $83.24 / $456.89	Professional		$58.62	$83.24	$456.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $70.93 / $72.09	Professional		$70.93	$70.93	$72.09
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $123.10	Professional		$24.62	$35.17	$123.10