Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $92.29 / $219.25	Facility		$92.29	$92.29	$219.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $119.82 / $145.36	Professional		$88.59	$119.82	$145.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $272.10 / $713.30	Facility		$194.36	$272.10	$713.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $161.60 / $310.27	Professional		$103.61	$161.60	$310.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.27 / $216.35 / $359.57	Facility		$162.27	$216.35	$359.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $165.21 / $165.21	Professional		$165.21	$165.21	$165.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $194.36 / $287.77	Professional		$147.71	$194.36	$287.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $242.95 / $247.81	Professional		$240.29	$242.95	$247.81
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $96.96 / $168.17	Professional		$64.64	$96.96	$168.17