Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $111.79 / $222.53	Facility		$46.68	$111.79	$222.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $61.07 / $85.42	Professional		$37.21	$61.07	$85.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $89.68 / $242.89	Facility		$52.00	$89.68	$242.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $52.00 / $132.58	Professional		$34.65	$52.00	$132.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $98.28 / $150.93	Facility		$70.20	$98.28	$150.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.24 / $91.26	Professional		$70.20	$84.24	$91.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $123.60 / $216.30	Facility		$69.98	$123.60	$216.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $70.51 / $209.94	Professional		$36.82	$70.51	$209.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $86.23 / $546.62	Professional		$63.18	$86.23	$546.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $87.75 / $129.87	Professional		$84.94	$87.75	$129.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $43.33 / $125.66	Professional		$29.48	$43.33	$125.66