Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $130.36 / $202.64	Facility		$51.08	$130.36	$202.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $36.15 / $46.35	Professional		$19.37	$36.15	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $50.99 / $160.37	Facility		$30.19	$50.99	$160.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $18.54 / $55.50	Professional		$13.90	$18.54	$55.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $46.35 / $74.16	Facility		$19.80	$46.35	$74.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $46.35	Professional		$30.13	$30.13	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $101.97 / $128.84	Facility		$37.92	$101.97	$128.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $64.23	Professional		$24.37	$24.37	$64.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $50.99 / $118.00	Professional		$46.35	$50.99	$118.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $116.21 / $139.60	Facility		$55.50	$116.21	$139.60
United Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Facility		$25.49	$25.49	$25.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $19.44 / $46.35	Professional		$9.72	$19.44	$46.35