Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $41.05 / $97.51	Facility		$41.05	$41.05	$97.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $51.85 / $71.63	Professional		$38.89	$51.85	$71.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $121.02 / $317.23	Facility		$86.44	$121.02	$317.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $71.88 / $138.01	Professional		$46.08	$71.88	$138.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $97.97 / $169.42	Facility		$73.47	$97.97	$169.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $73.47 / $73.47	Professional		$73.47	$73.47	$73.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $133.50	Professional		$39.43	$39.43	$133.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $86.44 / $130.69	Professional		$65.69	$86.44	$130.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $108.05 / $110.21	Professional		$106.88	$108.05	$110.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $43.13 / $71.15	Professional		$28.75	$43.13	$71.15