Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $104.70	Facility		$44.07	$44.07	$104.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $53.96 / $70.45	Professional		$41.88	$53.96	$70.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $129.93 / $340.61	Facility		$92.81	$129.93	$340.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $82.24 / $159.47	Professional		$50.59	$82.24	$159.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $85.14 / $171.70	Facility		$78.89	$85.14	$171.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $78.89 / $78.89	Professional		$78.89	$78.89	$78.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $115.14	Professional		$39.31	$53.85	$115.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $92.81 / $268.00	Professional		$70.54	$92.81	$268.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $118.34 / $175.14	Professional		$114.74	$118.34	$175.14
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $47.22 / $83.54	Professional		$30.87	$47.22	$83.54