Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $28.48 / $109.98	Facility		$28.48	$28.48	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $34.85 / $51.75	Professional		$28.48	$34.85	$51.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $84.32 / $221.04	Facility		$60.23	$84.32	$221.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $53.14 / $121.20	Professional		$32.92	$53.14	$121.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $87.33 / $118.05	Facility		$50.20	$87.33	$118.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $69.26	Professional		$51.20	$51.20	$69.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $77.06	Professional		$34.31	$34.31	$77.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $60.23 / $96.37	Professional		$41.73	$60.23	$96.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $124.70 / $150.30	Professional		$25.10	$124.70	$150.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $32.18 / $69.70	Professional		$21.45	$32.18	$69.70