Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $102.56 / $217.46	Facility		$39.86	$102.56	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $63.80 / $101.67	Professional		$45.62	$63.80	$101.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $80.95 / $237.36	Facility		$44.67	$80.95	$237.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $120.46	Professional		$38.86	$38.86	$120.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $99.47 / $147.44	Facility		$68.59	$99.47	$147.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $111.48 / $211.09	Facility		$66.00	$111.48	$211.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $80.73 / $205.11	Professional		$34.18	$80.73	$205.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $97.41 / $535.77	Professional		$68.59	$97.41	$535.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $85.75 / $126.91	Professional		$68.59	$85.75	$126.91
United Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $61.74 / $61.74	Facility		$61.74	$61.74	$61.74
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $68.59 / $180.27	Professional		$41.16	$68.59	$180.27