Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $49.04 / $116.48	Facility		$49.04	$49.04	$116.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $63.66 / $82.03	Professional		$49.04	$63.66	$82.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $144.56 / $378.96	Facility		$103.26	$144.56	$378.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $85.86 / $164.85	Professional		$55.05	$85.86	$164.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $117.03 / $191.03	Facility		$87.77	$117.03	$191.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Professional		$87.77	$87.77	$87.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $137.99	Professional		$47.10	$64.52	$137.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $103.26 / $155.96	Professional		$78.48	$103.26	$155.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $129.07 / $131.66	Professional		$127.66	$129.07	$131.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $51.52 / $85.86	Professional		$34.34	$51.52	$85.86