Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $182.31	Facility		$63.32	$63.32	$182.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $76.27 / $94.88	Professional		$60.26	$76.27	$94.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $148.86 / $390.23	Facility		$106.33	$148.86	$390.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $114.23 / $231.62	Professional		$84.10	$114.23	$231.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $106.33 / $200.97	Facility		$82.80	$106.33	$200.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Professional		$90.38	$90.38	$90.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $111.38	Professional		$55.98	$76.68	$111.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $106.33 / $210.08	Professional		$81.40	$106.33	$210.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $136.26 / $196.71	Professional		$97.41	$136.26	$196.71
United Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $71.01 / $76.23	Facility		$44.16	$71.01	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $80.63 / $117.65	Professional		$53.76	$80.63	$117.65