Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $63.26 / $152.91	Facility		$21.93	$63.26	$152.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $44.38 / $107.45	Professional		$32.08	$44.38	$107.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $52.38 / $166.91	Facility		$26.77	$52.38	$166.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $59.83	Professional		$19.30	$19.30	$59.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $69.95 / $103.67	Facility		$48.24	$69.95	$103.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $78.40 / $133.53	Facility		$48.05	$78.40	$133.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $43.69 / $125.91	Professional		$22.02	$43.69	$125.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $62.71 / $375.35	Professional		$43.42	$62.71	$375.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $67.54 / $89.24	Professional		$58.37	$67.54	$89.24
United Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $28.88 / $99.35	Professional		$16.04	$28.88	$99.35