Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $165.96	Facility		$63.10	$63.10	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $114.82	Professional		$53.70	$67.61	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $257.04 / $398.11	Facility		$109.65	$257.04	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $181.97	Professional		$83.18	$128.82	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $162.18	Facility		$75.86	$75.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $128.82	Professional		$56.23	$56.23	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $208.93	Professional		$89.13	$109.65	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $173.78	Professional		$100.00	$141.25	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $95.50	Facility		$44.67	$70.79	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $120.23	Professional		$53.70	$77.62	$120.23