Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $60.45 / $143.59	Facility		$60.45	$60.45	$143.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $76.36 / $101.12	Professional		$59.58	$76.36	$101.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $178.21 / $467.15	Facility		$127.29	$178.21	$467.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $105.84 / $203.21	Professional		$67.86	$105.84	$203.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $135.61 / $235.49	Facility		$108.20	$135.61	$235.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $108.20 / $108.20	Professional		$108.20	$108.20	$108.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $171.75	Professional		$76.06	$76.06	$171.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $127.29 / $192.21	Professional		$96.74	$127.29	$192.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $159.11 / $162.30	Professional		$157.38	$159.11	$162.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $63.50 / $104.78	Professional		$42.34	$63.50	$104.78