Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $44.72 / $106.23	Facility		$44.72	$44.72	$106.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $56.56 / $74.81	Professional		$44.72	$56.56	$74.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $131.82 / $345.57	Facility		$94.16	$131.82	$345.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $78.30 / $150.34	Professional		$50.20	$78.30	$150.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $94.16 / $184.55	Facility		$80.04	$94.16	$184.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $109.13	Professional		$42.95	$58.84	$109.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $94.16 / $141.69	Professional		$71.56	$94.16	$141.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $117.70 / $120.06	Professional		$116.41	$117.70	$120.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $46.98 / $77.51	Professional		$31.32	$46.98	$77.51