Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $133.18 / $219.24	Facility		$84.03	$133.18	$219.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $82.58 / $117.52	Professional		$66.65	$82.58	$117.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $214.21 / $226.26	Professional		$66.95	$214.21	$226.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $113.87 / $113.87	Facility		$113.87	$113.87	$113.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $58.73	Professional		$58.73	$58.73	$58.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $104.22 / $207.13	Professional		$68.14	$104.22	$207.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $93.72 / $311.58	Professional		$66.94	$93.72	$311.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $111.55 / $171.90	Professional		$62.16	$111.55	$171.90
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $95.23 / $177.36	Professional		$70.95	$95.23	$177.36