Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $61.14 / $145.25	Facility		$61.14	$61.14	$145.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $76.01 / $89.47	Professional		$57.99	$76.01	$89.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.76 / $180.26 / $472.55	Facility		$128.76	$180.26	$472.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $107.06 / $205.56	Professional		$70.00	$107.06	$205.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.45 / $128.77 / $238.21	Facility		$109.45	$128.77	$238.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $109.45	Professional		$109.45	$109.45	$109.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $149.25	Professional		$58.73	$80.45	$149.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $128.76 / $233.54	Professional		$97.86	$128.76	$233.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $218.89 / $242.98	Professional		$159.19	$218.89	$242.98
United Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $64.23 / $105.97	Professional		$43.50	$64.23	$105.97