Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $73.64 / $261.12	Facility		$54.90	$73.64	$261.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $60.05 / $153.66	Professional		$40.65	$60.05	$153.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $82.59 / $153.05	Professional		$35.39	$82.59	$153.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $99.99 / $120.11	Facility		$72.23	$99.99	$120.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $78.05 / $99.43	Professional		$72.05	$78.05	$99.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.06 / $109.00	Facility		$60.00	$75.06	$109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $83.63 / $170.66	Professional		$32.61	$83.63	$170.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $90.08 / $132.75	Professional		$62.31	$90.08	$132.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $121.01 / $145.36	Facility		$46.12	$121.01	$145.36
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $89.24 / $155.77	Professional		$66.45	$89.24	$155.77