Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $156.34 / $313.95	Facility		$65.81	$156.34	$313.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $83.14 / $124.71	Professional		$62.35	$83.14	$124.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $194.04 / $508.66	Facility		$138.60	$194.04	$508.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $115.24 / $221.26	Professional		$73.89	$115.24	$221.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.81 / $136.88 / $256.41	Facility		$117.81	$136.88	$256.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $117.81 / $117.81	Professional		$117.81	$117.81	$117.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $87.73 / $160.50	Professional		$65.44	$87.73	$160.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $138.60 / $208.69	Professional		$105.34	$138.60	$208.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $173.25 / $176.71	Professional		$171.35	$173.25	$176.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $69.14 / $115.24	Professional		$46.10	$69.14	$115.24