Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $128.27 / $274.60	Facility		$128.27	$128.27	$274.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $142.15 / $176.28	Professional		$123.53	$142.15	$176.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $202.97 / $340.43	Professional		$132.29	$202.97	$340.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $133.63 / $133.63	Facility		$133.63	$133.63	$133.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $125.98 / $125.98	Professional		$125.98	$125.98	$125.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $221.47	Facility		$157.91	$157.91	$221.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $207.01 / $360.95	Professional		$145.37	$207.01	$360.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $172.51 / $663.00	Professional		$132.69	$172.51	$663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $146.87 / $245.50	Professional		$115.99	$146.87	$245.50
United Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $190.75 / $301.74	Professional		$132.94	$190.75	$301.74