Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $87.10	Professional		$72.44	$74.13	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $407.38	Facility		$74.13	$120.23	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Facility		$69.18	$69.18	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $165.96	Professional		$51.29	$74.13	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $128.82	Professional		$30.20	$79.43	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $194.98	Facility		$70.79	$138.04	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $89.13	Professional		$70.79	$74.13	$89.13