Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $95.35 / $226.50	Facility		$95.35	$95.35	$226.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $114.34 / $147.43	Professional		$90.33	$114.34	$147.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $281.11 / $736.90	Facility		$200.79	$281.11	$736.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $166.95 / $320.54	Professional		$105.62	$166.95	$320.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $170.67 / $371.46	Facility		$149.97	$170.67	$371.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $170.67 / $170.67	Professional		$170.67	$170.67	$170.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $119.20 / $218.25	Professional		$88.93	$119.20	$218.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $200.79 / $278.64	Professional		$152.60	$200.79	$278.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $341.34 / $378.90	Professional		$130.51	$341.34	$378.90
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $100.17 / $165.26	Professional		$66.78	$100.17	$165.26