Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $77.62 / $543.46	Facility		$25.78	$77.62	$543.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $123.36 / $238.32	Professional		$23.06	$123.36	$238.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $244.60 / $497.23	Professional		$19.07	$244.60	$497.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $208.03 / $208.03	Facility		$208.03	$208.03	$208.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $18.46 / $18.46	Professional		$18.46	$18.46	$18.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $164.00 / $407.35	Professional		$24.97	$164.00	$407.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $154.47 / $1,382.73	Professional		$21.34	$154.47	$1,382.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $142.61 / $376.20	Professional		$22.31	$142.61	$376.20
United Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $245.11 / $458.35	Professional		$177.99	$245.11	$458.35