Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $30.42 / $109.98	Facility		$30.42	$30.42	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $36.35 / $55.32	Professional		$30.42	$36.35	$55.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $93.07 / $243.98	Facility		$66.48	$93.07	$243.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $64.55 / $159.72	Professional		$42.17	$64.55	$159.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $93.07 / $130.30	Facility		$55.92	$93.07	$130.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $56.51 / $76.45	Professional		$56.51	$56.51	$76.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $54.64	Facility		$44.23	$44.23	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $81.83	Professional		$37.60	$37.60	$81.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $66.48 / $309.24	Professional		$59.83	$66.48	$309.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $136.30 / $191.20	Professional		$124.70	$136.30	$191.20
United Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $44.31 / $54.49	Facility		$33.97	$44.31	$54.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.63 / $102.67	Professional		$22.91	$40.63	$102.67