Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $163.77 / $271.62	Facility		$68.94	$163.77	$271.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $87.08 / $107.88	Professional		$68.94	$87.08	$107.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $203.24 / $532.77	Facility		$145.16	$203.24	$532.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $120.71 / $231.76	Professional		$77.40	$120.71	$231.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.39 / $145.16 / $284.52	Facility		$123.39	$145.16	$284.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $123.39 / $123.39	Professional		$123.39	$123.39	$123.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $98.27 / $180.00	Professional		$73.31	$98.27	$180.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $145.16 / $219.68	Professional		$110.33	$145.16	$219.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $181.46 / $185.10	Professional		$179.48	$181.46	$185.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $72.43 / $120.71	Professional		$48.28	$72.43	$120.71