Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $88.37 / $209.90	Facility		$88.37	$88.37	$209.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $88.37 / $124.02	Professional		$70.20	$88.37	$124.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.08 / $260.51 / $682.91	Facility		$186.08	$260.51	$682.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $154.72 / $297.06	Professional		$81.72	$154.72	$297.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $158.16 / $344.25	Facility		$118.63	$158.16	$344.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $158.16 / $158.16	Professional		$158.16	$158.16	$158.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $88.34 / $161.63	Professional		$65.90	$88.34	$161.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $186.08 / $258.25	Professional		$141.41	$186.08	$258.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.04 / $232.60 / $237.25	Professional		$230.04	$232.60	$237.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $87.38 / $153.16	Professional		$61.89	$87.38	$153.16