Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $137.84 / $1,083.97	Facility		$85.06	$137.84	$1,083.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $95.25 / $196.74	Professional		$85.06	$95.25	$196.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $122.44 / $228.07	Professional		$72.56	$122.44	$228.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $117.61 / $142.44	Facility		$93.60	$117.61	$142.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $104.25 / $193.42	Professional		$88.92	$104.25	$193.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $103.37	Facility		$103.37	$103.37	$103.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $134.40 / $241.23	Professional		$85.81	$134.40	$241.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $170.41 / $302.89	Professional		$97.93	$170.41	$302.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $134.44 / $168.43	Professional		$88.21	$134.44	$168.43
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $132.24 / $239.04	Professional		$90.18	$132.24	$239.04