Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.08 / $76.08 / $180.72	Facility		$76.08	$76.08	$180.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $85.50 / $106.78	Professional		$72.08	$85.50	$106.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $224.32 / $588.04	Facility		$160.22	$224.32	$588.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $133.21 / $255.76	Professional		$80.45	$133.21	$255.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $136.19 / $296.43	Facility		$132.22	$136.19	$296.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Professional		$136.19	$136.19	$136.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $184.88	Professional		$64.94	$88.96	$184.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $160.22 / $222.85	Professional		$121.77	$160.22	$222.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $277.83 / $302.35	Professional		$272.39	$277.83	$302.35
United Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $79.93 / $133.21	Professional		$53.28	$79.93	$133.21