Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $170.23	Facility		$71.66	$71.66	$170.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $90.62 / $101.83	Professional		$71.66	$90.62	$101.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $211.26 / $553.79	Facility		$150.90	$211.26	$553.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $125.47 / $240.90	Professional		$80.45	$125.47	$240.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $150.90 / $295.76	Facility		$128.27	$150.90	$295.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $128.27 / $128.27	Professional		$128.27	$128.27	$128.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $205.13	Professional		$71.39	$97.79	$205.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $150.90 / $227.36	Professional		$114.68	$150.90	$227.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $188.62 / $192.40	Professional		$186.56	$188.62	$192.40
United Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $74.61 / $83.58	Facility		$46.40	$74.61	$83.58
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $75.28 / $147.36	Professional		$50.19	$75.28	$147.36