Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $57.07 / $135.55	Facility		$57.07	$57.07	$135.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $72.09 / $92.96	Professional		$55.77	$72.09	$92.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.17 / $168.24 / $441.02	Facility		$120.17	$168.24	$441.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $99.92 / $191.85	Professional		$64.06	$99.92	$191.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $127.04 / $222.31	Facility		$102.14	$127.04	$222.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Professional		$102.14	$102.14	$102.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $75.09 / $140.63	Professional		$54.82	$75.09	$140.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $120.17 / $181.23	Professional		$91.33	$120.17	$181.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $150.21 / $153.21	Professional		$148.57	$150.21	$153.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $59.95 / $98.91	Professional		$39.97	$59.95	$98.91