Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $78.95 / $166.35	Facility		$78.95	$78.95	$166.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $87.52 / $108.36	Professional		$75.89	$87.52	$108.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $124.71 / $220.71	Professional		$80.97	$124.71	$220.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $86.77 / $86.77	Facility		$86.77	$86.77	$86.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $77.55 / $77.55	Professional		$77.55	$77.55	$77.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $121.17	Facility		$96.70	$96.70	$121.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $129.72 / $221.94	Professional		$89.69	$129.72	$221.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $106.17 / $447.00	Professional		$81.67	$106.17	$447.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $91.23 / $151.09	Professional		$71.40	$91.23	$151.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $117.12 / $181.85	Professional		$79.90	$117.12	$181.85