Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $175.60 / $182.97	Facility		$86.84	$175.60	$182.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $87.66 / $177.09	Professional		$70.44	$87.66	$177.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $553.00 / $692.09	Facility		$255.00	$553.00	$692.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $104.67 / $177.48	Professional		$81.20	$104.67	$177.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $425.00 / $1,215.26	Facility		$400.00	$425.00	$1,215.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $210.00 / $1,501.00	Facility		$101.77	$210.00	$1,501.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $104.72 / $197.65	Professional		$71.00	$104.72	$197.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $127.28 / $246.73	Professional		$97.91	$127.28	$246.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $44.78 / $1,333.17	Facility		$44.78	$44.78	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $86.50 / $136.25	Professional		$36.09	$86.50	$136.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $96.16 / $166.35	Professional		$70.45	$96.16	$166.35