Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $42.43 / $100.79	Facility		$42.43	$42.43	$100.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $47.68 / $59.55	Professional		$40.20	$47.68	$59.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $125.09 / $327.91	Facility		$89.35	$125.09	$327.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $74.29 / $142.63	Professional		$46.49	$74.29	$142.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $75.95 / $165.30	Facility		$73.70	$75.95	$165.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $75.95	Professional		$75.95	$75.95	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $106.18	Professional		$40.89	$40.89	$106.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $89.35 / $124.44	Professional		$67.91	$89.35	$124.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $154.94 / $168.61	Professional		$151.90	$154.94	$168.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $44.57 / $88.87	Professional		$29.72	$44.57	$88.87