Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.51 / $62.51 / $148.47	Facility		$62.51	$62.51	$148.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $69.50 / $104.56	Professional		$56.35	$69.50	$104.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.62 / $184.27 / $483.05	Facility		$131.62	$184.27	$483.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $109.44 / $210.12	Professional		$69.23	$109.44	$210.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $115.66 / $243.50	Facility		$99.62	$115.66	$243.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $111.88 / $111.88	Professional		$111.88	$111.88	$111.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $74.18 / $135.75	Professional		$55.35	$74.18	$135.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $131.62 / $211.14	Professional		$100.03	$131.62	$211.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $162.72 / $243.50	Professional		$73.84	$162.72	$243.50
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $65.66 / $108.33	Professional		$43.78	$65.66	$108.33