Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $106.62 / $253.27	Facility		$31.10	$106.62	$253.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $130.57 / $237.99	Professional		$99.41	$130.57	$237.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.52 / $314.33 / $823.99	Facility		$224.52	$314.33	$823.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $186.69 / $358.44	Professional		$120.52	$186.69	$358.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.87 / $194.34 / $415.36	Facility		$170.87	$194.34	$415.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $190.84 / $190.84	Professional		$190.84	$190.84	$190.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $172.53 / $210.22	Professional		$91.70	$172.53	$210.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $224.52 / $353.00	Professional		$170.64	$224.52	$353.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $277.58 / $449.80	Professional		$233.20	$277.58	$449.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $112.01 / $184.79	Professional		$74.68	$112.01	$184.79