Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $276.31 / $475.50	Facility		$99.75	$276.31	$475.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $127.50 / $144.00	Professional		$99.75	$127.50	$144.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $150.00 / $192.35	Facility		$60.00	$150.00	$192.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.00 / $186.00	Professional		$48.00	$60.00	$186.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $217.50 / $322.39	Facility		$150.00	$217.50	$322.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.09 / $330.00 / $462.91	Facility		$224.09	$330.00	$462.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $843.46 / $843.46	Professional		$87.75	$843.46	$843.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $195.00 / $1,169.47	Professional		$150.00	$195.00	$1,169.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $201.00 / $277.50	Professional		$150.00	$201.00	$277.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $262.58	Professional		$63.00	$90.00	$262.58