Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $62.65 / $148.83	Facility		$62.65	$62.65	$148.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $79.14 / $99.90	Professional		$62.65	$79.14	$99.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $184.72 / $484.22	Facility		$131.94	$184.72	$484.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $109.70 / $210.62	Professional		$70.34	$109.70	$210.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $135.77 / $244.09	Facility		$112.15	$135.77	$244.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $112.15 / $112.15	Professional		$112.15	$112.15	$112.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $101.11 / $179.77	Professional		$75.42	$101.11	$179.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $131.94 / $198.80	Professional		$100.27	$131.94	$198.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $164.93 / $168.22	Professional		$163.11	$164.93	$168.22
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $65.81 / $108.59	Professional		$43.88	$65.81	$108.59