Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $637.27 / $667.60	Facility		$85.68	$637.27	$667.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $99.80 / $149.77	Professional		$80.34	$99.80	$149.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.29 / $197.81 / $518.53	Facility		$141.29	$197.81	$518.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $159.81 / $313.97	Professional		$119.06	$159.81	$313.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $141.29 / $276.81	Facility		$101.95	$141.29	$276.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $120.10 / $120.10	Professional		$120.10	$120.10	$120.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $160.50	Professional		$97.62	$97.62	$160.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $141.29 / $292.18	Professional		$100.19	$141.29	$292.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $240.19 / $268.44	Professional		$173.66	$240.19	$268.44
United Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $110.36 / $156.33	Professional		$75.76	$110.36	$156.33