Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $62.81 / $134.35	Facility		$28.18	$62.81	$134.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.18 / $79.59	Professional		$28.18	$40.18	$79.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $47.85 / $146.63	Facility		$30.59	$47.85	$146.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $19.72 / $76.95	Professional		$19.72	$19.72	$76.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $61.45 / $91.09	Facility		$42.38	$61.45	$91.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $68.88 / $117.56	Facility		$42.25	$68.88	$117.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $46.20 / $109.34	Professional		$21.12	$46.20	$109.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $63.85 / $329.11	Professional		$42.38	$63.85	$329.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $52.98 / $78.40	Professional		$42.38	$52.98	$78.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $47.75 / $101.81	Professional		$25.43	$47.75	$101.81