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 $52.40 / $64.79 / $77.62	Professional		$52.40	$64.79	$77.62
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 $66.38 / $103.20 / $200.15	Professional		$66.38	$103.20	$200.15
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 $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $134.25	Professional		$51.62	$70.70	$134.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $116.46 / $174.00	Professional		$88.51	$116.46	$174.00
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 / $104.82	Professional		$38.74	$58.10	$104.82