Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $153.77 / $340.38	Facility		$66.06	$153.77	$340.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $75.73 / $166.66	Professional		$50.62	$75.73	$166.66
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.19 / $19.19 / $19.19	Professional	CQ	$19.19	$19.19	$19.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $92.29 / $168.58	Professional		$69.01	$92.29	$168.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $129.75 / $156.85	Facility		$93.88	$129.75	$156.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $101.17 / $128.97	Professional		$93.69	$101.17	$128.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $70.00 / $98.03	Facility		$57.50	$70.00	$98.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $85.64 / $139.02	Professional		$49.46	$85.64	$139.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $98.03 / $137.24	Professional		$81.36	$98.03	$137.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $152.26 / $203.13	Facility		$67.02	$152.26	$203.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $105.38 / $161.97	Professional		$69.51	$105.38	$161.97
United Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $85.55 / $135.54	Professional		$66.11	$85.55	$135.54