Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.68 / $386.46 / $386.46	Facility		$172.68	$386.46	$386.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $105.36 / $106.06	Professional		$95.09	$105.36	$106.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $155.75 / $846.27	Facility		$91.92	$155.75	$846.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.76 / $846.27 / $846.27	Professional		$265.76	$846.27	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $176.77 / $262.01	Facility		$121.91	$176.77	$262.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.13 / $268.20 / $376.18	Facility		$182.13	$268.20	$376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $627.29 / $627.29	Professional		$88.05	$627.29	$627.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $217.84 / $565.11	Professional		$109.72	$217.84	$565.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $163.36 / $225.53	Professional		$121.91	$163.36	$225.53
United Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $75.26 / $213.40	Professional		$51.20	$75.26	$213.40