Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $65.52 / $155.65	Facility		$65.52	$65.52	$155.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $82.76 / $100.16	Professional		$65.52	$82.76	$100.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $193.17 / $506.39	Facility		$137.97	$193.17	$506.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $114.72 / $220.26	Professional		$73.56	$114.72	$220.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $135.04 / $255.26	Facility		$117.28	$135.04	$255.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $117.28 / $117.28	Professional		$117.28	$117.28	$117.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $180.38	Professional		$62.93	$86.21	$180.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $137.97 / $211.98	Professional		$104.86	$137.97	$211.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.58 / $234.57 / $260.35	Professional		$170.58	$234.57	$260.35
United Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $68.83 / $113.56	Professional		$45.89	$68.83	$113.56