Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $95.40	Facility		$40.15	$40.15	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $45.31 / $67.18	Professional		$35.46	$45.31	$67.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $118.38 / $310.33	Facility		$84.56	$118.38	$310.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $70.31 / $135.01	Professional		$42.24	$70.31	$135.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $71.88 / $156.44	Facility		$61.30	$71.88	$156.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $71.88 / $71.88	Professional		$71.88	$71.88	$71.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $96.33	Professional		$33.90	$33.90	$96.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $84.56 / $117.53	Professional		$64.27	$84.56	$117.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $143.75 / $159.56	Professional		$54.96	$143.75	$159.56
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $42.19 / $69.59	Professional		$28.13	$42.19	$69.59