Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $77.22 / $355.88	Facility		$32.51	$77.22	$355.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $41.06 / $51.43	Professional		$32.51	$41.06	$51.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $95.83 / $251.21	Facility		$68.45	$95.83	$251.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $56.92 / $109.29	Professional		$36.50	$56.92	$109.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $68.45 / $134.16	Facility		$58.18	$68.45	$134.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $58.18 / $58.18	Professional		$58.18	$58.18	$58.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $79.50	Professional		$31.22	$42.77	$79.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $68.45 / $103.24	Professional		$52.02	$68.45	$103.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $85.56 / $87.28	Professional		$84.63	$85.56	$87.28
United Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $33.85 / $37.90	Facility		$21.05	$33.85	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $34.15 / $66.84	Professional		$22.77	$34.15	$66.84