Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $119.32 / $457.00	Facility		$66.06	$119.32	$457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $73.00 / $164.05	Professional		$55.29	$73.00	$164.05
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
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 / $112.73 / $271.00	Professional		$81.36	$112.73	$271.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $231.81 / $363.09	Facility		$134.90	$231.81	$363.09
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 $66.02 / $82.64 / $134.12	Professional		$66.02	$82.64	$134.12