Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $282.75	Facility		$51.31	$51.31	$282.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $84.66	Professional		$51.31	$51.31	$84.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $55.72 / $66.70	Facility		$33.42	$55.72	$66.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.52 / $63.61	Professional		$16.42	$20.52	$63.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $74.40 / $110.28	Facility		$51.31	$74.40	$110.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $66.70	Professional		$51.31	$51.31	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $112.88 / $161.53	Facility		$76.65	$112.88	$161.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $127.25 / $149.31	Professional		$51.31	$127.25	$149.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $80.00 / $399.79	Professional		$51.31	$80.00	$399.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.09 / $1,663.61 / $2,164.00	Facility		$1,040.09	$1,663.61	$2,164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $71.83 / $94.92	Professional		$67.22	$71.83	$94.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $93.24	Professional		$21.55	$30.79	$93.24