Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $43.22 / $115.89	Facility		$43.22	$43.22	$115.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $51.35 / $79.43	Professional		$43.22	$51.35	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $143.79 / $376.95	Facility		$102.71	$143.79	$376.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $91.03 / $188.56	Professional		$51.40	$91.03	$188.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $87.30 / $190.01	Facility		$84.75	$87.30	$190.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $87.30 / $87.30	Professional		$87.30	$87.30	$87.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $118.50	Professional		$43.91	$43.91	$118.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $102.71 / $185.00	Professional		$78.06	$102.71	$185.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $128.38 / $130.94	Professional		$126.98	$128.38	$130.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $51.25 / $88.78	Professional		$34.15	$51.25	$88.78