Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $239.92	Facility		$101.00	$101.00	$239.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $131.13 / $191.37	Professional		$98.70	$131.13	$191.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $297.75 / $780.54	Facility		$212.68	$297.75	$780.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $176.84 / $339.53	Professional		$113.39	$176.84	$339.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $241.04 / $393.46	Facility		$180.78	$241.04	$393.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $180.78 / $180.78	Professional		$180.78	$180.78	$180.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $284.05	Professional		$109.58	$150.11	$284.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $212.68 / $320.73	Professional		$161.63	$212.68	$320.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $279.85 / $401.34	Professional		$262.95	$279.85	$401.34
United Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $106.10 / $175.05	Professional		$70.73	$106.10	$175.05