Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $114.61	Facility		$38.40	$38.40	$114.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $47.96 / $70.48	Professional		$34.18	$47.96	$70.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $88.83 / $232.86	Facility		$63.45	$88.83	$232.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $71.28 / $140.66	Professional		$53.45	$71.28	$140.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $63.45 / $123.78	Facility		$45.78	$63.45	$123.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $53.93 / $53.93	Professional		$53.93	$53.93	$53.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $90.00	Professional		$42.10	$42.10	$90.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $63.45 / $179.15	Professional		$43.39	$63.45	$179.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $77.98 / $117.38	Professional		$35.84	$77.98	$117.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $50.68 / $76.28	Professional		$33.79	$50.68	$76.28