Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $310.80 / $757.80	Facility		$59.76	$310.80	$757.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $42.84 / $100.47	Professional		$28.49	$42.84	$100.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $54.73 / $148.22	Facility		$30.92	$54.73	$148.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $91.06	Professional		$21.15	$21.15	$91.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $59.98 / $92.11	Facility		$42.84	$59.98	$92.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $51.41 / $55.69	Professional		$42.84	$51.41	$55.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $69.63 / $131.66	Facility		$42.57	$69.63	$131.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $51.49 / $117.24	Professional		$21.38	$51.49	$117.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $60.83 / $334.50	Professional		$42.84	$60.83	$334.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $243.35 / $292.30 / $368.71	Facility		$243.35	$292.30	$368.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $59.98 / $79.25	Professional		$51.84	$59.98	$79.25
United Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $53.55	Facility		$32.32	$32.32	$53.55
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.27 / $77.84	Professional		$17.98	$31.27	$77.84