Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $140.69 / $164.90	Facility		$77.29	$140.69	$164.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $84.72 / $158.25	Professional		$69.17	$84.72	$158.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $117.29 / $205.48	Professional		$78.92	$117.29	$205.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.76 / $144.76 / $144.76	Facility		$144.76	$144.76	$144.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $132.18 / $214.33	Professional		$84.41	$132.18	$214.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $119.62 / $280.04	Professional		$82.27	$119.62	$280.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $191.20 / $256.70	Professional		$149.30	$191.20	$256.70
United Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $127.55 / $204.49	Professional		$92.94	$127.55	$204.49