Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $138.22 / $400.69	Facility		$45.78	$138.22	$400.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $54.75 / $72.84	Professional		$39.07	$54.75	$72.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $46.40 / $49.76	Facility		$39.44	$46.40	$49.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $49.73 / $49.73	Professional		$39.78	$49.73	$49.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $78.03	Facility		$39.81	$39.81	$78.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $37.56 / $54.60	Facility		$37.56	$37.56	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $51.35 / $114.10	Professional		$37.92	$51.35	$114.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $1,261.90 / $1,597.45	Facility		$503.75	$1,261.90	$1,597.45
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $57.62 / $61.31	Professional		$49.05	$57.62	$61.31