Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $97.92 / $232.61	Facility		$97.92	$97.92	$232.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $102.25 / $137.43	Professional		$84.75	$102.25	$137.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.19 / $288.67 / $756.72	Facility		$206.19	$288.67	$756.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $171.45 / $329.18	Professional		$99.32	$171.45	$329.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.76 / $180.46 / $381.45	Facility		$157.76	$180.46	$381.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $175.26 / $175.26	Professional		$175.26	$175.26	$175.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $117.47 / $215.25	Professional		$87.64	$117.47	$215.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $206.19 / $286.22	Professional		$156.69	$206.19	$286.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.92 / $257.74 / $262.89	Professional		$254.92	$257.74	$262.89
United Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $100.65 / $169.71	Professional		$68.58	$100.65	$169.71