Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $168.18 / $168.18	Facility		$96.45	$168.18	$168.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $101.40 / $193.44	Professional		$91.86	$101.40	$193.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $142.01 / $241.95	Professional		$109.04	$142.01	$241.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.15 / $140.15 / $140.15	Facility		$140.15	$140.15	$140.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $105.86 / $105.86	Professional		$105.86	$105.86	$105.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $158.47 / $264.32	Professional		$110.96	$158.47	$264.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $151.62 / $750.00	Professional		$111.53	$151.62	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $217.30 / $291.80	Professional		$179.80	$217.30	$291.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $139.43 / $228.59	Professional		$109.71	$139.43	$228.59