Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $64.20 / $152.51	Facility		$64.20	$64.20	$152.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $81.09 / $121.65	Professional		$60.83	$81.09	$121.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $189.28 / $496.18	Facility		$135.19	$189.28	$496.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $112.41 / $215.83	Professional		$72.08	$112.41	$215.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $141.72 / $250.12	Facility		$114.92	$141.72	$250.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $114.92 / $114.92	Professional		$114.92	$114.92	$114.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $105.54 / $180.56	Professional		$82.02	$105.54	$180.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $135.19 / $204.30	Professional		$102.75	$135.19	$204.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.15 / $169.00 / $172.38	Professional		$167.15	$169.00	$172.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $67.45 / $111.27	Professional		$44.96	$67.45	$111.27