Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $55.49 / $131.82	Facility		$55.49	$55.49	$131.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $63.76 / $77.88	Professional		$51.84	$63.76	$77.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $163.58 / $428.80	Facility		$116.84	$163.58	$428.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $97.16 / $186.55	Professional		$59.83	$97.16	$186.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $99.31 / $216.15	Facility		$87.35	$99.31	$216.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $99.31 / $99.31	Professional		$99.31	$99.31	$99.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $119.25	Professional		$44.88	$61.48	$119.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $116.84 / $162.44	Professional		$88.80	$116.84	$162.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $146.05 / $148.97	Professional		$144.44	$146.05	$148.97
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $58.30 / $96.17	Professional		$38.86	$58.30	$96.17