Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $48.92 / $130.66	Facility		$48.92	$48.92	$130.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $56.26	Professional		$47.15	$48.92	$56.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $84.77 / $191.10	Facility		$52.07	$84.77	$191.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $55.99 / $55.99	Professional		$52.07	$55.99	$55.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $70.29 / $145.96	Facility		$59.88	$70.29	$145.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $52.17 / $256.00	Professional		$50.10	$52.17	$256.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $75.44	Professional		$58.94	$58.94	$75.44