Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.47 / $155.21	Facility		$78.37	$78.47	$155.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $97.46	Professional		$78.37	$78.47	$97.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $125.39 / $287.62	Facility		$78.37	$125.39	$287.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $82.77	Professional		$78.37	$78.37	$82.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $125.55	Facility		$78.37	$78.37	$125.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $125.39	Professional		$78.37	$78.47	$125.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $73.93 / $78.37	Facility		$73.93	$73.93	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $99.81	Professional		$78.37	$78.37	$99.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $77.09 / $150.43	Professional		$63.21	$77.09	$150.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $108.15 / $157.25	Professional		$78.37	$108.15	$157.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $83.07 / $100.31	Professional		$78.37	$83.07	$100.31