Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $50.32 / $119.52	Facility		$50.32	$50.32	$119.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $63.56 / $94.07	Professional		$47.67	$63.56	$94.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $148.33 / $388.84	Facility		$105.95	$148.33	$388.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $88.10 / $169.15	Professional		$58.15	$88.10	$169.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $109.20 / $196.01	Facility		$90.06	$109.20	$196.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $90.06 / $90.06	Professional		$90.06	$90.06	$90.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $133.88	Professional		$48.45	$66.37	$133.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $105.95 / $147.37	Professional		$80.52	$105.95	$147.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $135.09 / $199.93	Professional		$130.99	$135.09	$199.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $52.86 / $87.22	Professional		$35.24	$52.86	$87.22