Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $56.57 / $252.74	Facility		$24.88	$56.57	$252.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $27.66 / $43.73	Professional		$20.62	$27.66	$43.73
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $136.50 / $136.50 / $202.68	Professional	CQ	$136.50	$136.50	$202.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $39.44 / $72.72	Professional		$25.50	$39.44	$72.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $47.84 / $58.45	Facility		$34.72	$47.84	$58.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $37.18 / $47.57	Professional		$34.77	$37.18	$47.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $65.00 / $80.00	Facility		$36.53	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $60.80 / $113.88	Professional		$25.33	$60.80	$113.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $44.42 / $90.00	Professional		$30.32	$44.42	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $35.57 / $60.64	Professional		$25.63	$35.57	$60.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $39.65 / $50.51	Professional		$27.68	$39.65	$50.51