Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $218.25	Facility		$91.88	$91.88	$218.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $116.06 / $171.11	Professional		$87.04	$116.06	$171.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $270.86 / $710.03	Facility		$193.47	$270.86	$710.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $160.87 / $308.87	Professional		$102.87	$160.87	$308.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $164.45 / $357.92	Facility		$159.65	$164.45	$357.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $164.45 / $164.45	Professional		$164.45	$164.45	$164.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $204.23	Professional		$78.42	$107.42	$204.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $193.47 / $268.74	Professional		$147.04	$193.47	$268.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $241.84 / $357.92	Professional		$128.27	$241.84	$357.92
United Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $85.00 / $91.26	Facility		$52.86	$85.00	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $96.52 / $159.25	Professional		$64.34	$96.52	$159.25