Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $65.86 / $156.46	Facility		$65.86	$65.86	$156.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $83.20 / $110.18	Professional		$62.40	$83.20	$110.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $194.18 / $509.03	Facility		$138.69	$194.18	$509.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $115.32 / $221.41	Professional		$76.11	$115.32	$221.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $138.69 / $271.85	Facility		$117.90	$138.69	$271.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $117.90 / $117.90	Professional		$117.90	$117.90	$117.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $180.38	Professional		$63.26	$86.66	$180.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $138.69 / $209.78	Professional		$105.41	$138.69	$209.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $173.38 / $176.84	Professional		$171.48	$173.38	$176.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $69.19 / $114.16	Professional		$46.13	$69.19	$114.16