Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $247.08 / $425.19	Facility		$89.20	$247.08	$425.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $114.01 / $128.76	Professional		$89.20	$114.01	$128.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $160.96 / $464.27	Facility		$100.60	$160.96	$464.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $279.68 / $292.39	Professional		$209.32	$279.68	$292.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $194.49 / $288.27	Facility		$134.13	$194.49	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $295.08 / $413.77	Facility		$200.37	$295.08	$413.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $755.76 / $755.76	Professional		$107.30	$755.76	$755.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $174.37 / $1,044.34	Professional		$120.72	$174.37	$1,044.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $179.73 / $248.14	Professional		$134.13	$179.73	$248.14
United Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $134.13	Facility		$120.72	$120.72	$134.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $276.23	Professional		$56.33	$80.48	$276.23