Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $55.31 / $131.38	Facility		$55.31	$55.31	$131.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $67.84 / $105.04	Professional		$54.03	$67.84	$105.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $163.04 / $427.41	Facility		$116.46	$163.04	$427.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $96.84 / $185.93	Professional		$61.99	$96.84	$185.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.14 / $98.99 / $215.45	Facility		$96.14	$98.99	$215.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $98.99 / $98.99	Professional		$98.99	$98.99	$98.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $68.93 / $102.90	Professional		$47.20	$68.93	$102.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $116.46 / $161.83	Professional		$88.51	$116.46	$161.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.98 / $201.94 / $219.76	Professional		$197.98	$201.94	$219.76
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $58.10 / $95.85	Professional		$38.74	$58.10	$95.85