Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $121.67	Facility		$51.23	$51.23	$121.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $57.56 / $74.53	Professional		$48.53	$57.56	$74.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $151.02 / $395.88	Facility		$107.87	$151.02	$395.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $89.69 / $172.20	Professional		$57.20	$89.69	$172.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $91.69 / $199.56	Facility		$89.00	$91.69	$199.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $91.69 / $91.69	Professional		$91.69	$91.69	$91.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Facility		$59.89	$59.89	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $59.89 / $124.50	Professional		$43.72	$59.89	$124.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $107.87 / $149.79	Professional		$81.98	$107.87	$149.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.79 / $145.62 / $505.37	Professional		$118.79	$145.62	$505.37
United Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $53.81 / $88.77	Professional		$35.88	$53.81	$88.77