Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $42.72 / $128.15	Facility		$42.72	$42.72	$128.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $50.75 / $73.84	Professional		$42.72	$50.75	$73.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $126.49 / $331.58	Facility		$90.35	$126.49	$331.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $74.58 / $164.91	Professional		$53.49	$74.58	$164.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $126.49 / $177.09	Facility		$75.30	$126.49	$177.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $103.90	Professional		$76.80	$76.80	$103.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $107.63	Professional		$55.25	$55.25	$107.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $90.35 / $212.00	Professional		$81.31	$90.35	$212.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $187.20	Professional		$187.20	$187.20	$187.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $55.52 / $92.54	Professional		$32.18	$55.52	$92.54