Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $180.31	Facility		$75.91	$75.91	$180.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $83.18 / $126.98	Professional		$74.77	$83.18	$126.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.86 / $223.80 / $586.69	Facility		$159.86	$223.80	$586.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $132.91 / $255.19	Professional		$82.10	$132.91	$255.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $146.43 / $295.74	Facility		$133.08	$146.43	$295.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $135.88 / $135.88	Professional		$135.88	$135.88	$135.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $199.45	Professional		$62.17	$85.16	$199.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $159.86 / $221.52	Professional		$121.49	$159.86	$221.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $203.82 / $301.66	Professional		$176.04	$203.82	$301.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $79.75 / $131.56	Professional		$53.16	$79.75	$131.56