Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $83.72 / $198.87	Facility		$83.72	$83.72	$198.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $105.75 / $124.11	Professional		$83.72	$105.75	$124.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $246.81 / $646.98	Facility		$176.29	$246.81	$646.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $146.59 / $281.45	Professional		$93.99	$146.59	$281.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.85 / $160.32 / $326.14	Facility		$149.85	$160.32	$326.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $149.85 / $149.85	Professional		$149.85	$149.85	$149.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $204.38	Professional		$80.42	$110.16	$204.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $176.29 / $265.79	Professional		$133.97	$176.29	$265.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $220.36 / $224.78	Professional		$217.95	$220.36	$224.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $87.95 / $145.11	Professional		$58.64	$87.95	$145.11