Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $322.01 / $554.15	Facility		$116.25	$322.01	$554.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $148.59 / $167.82	Professional		$116.25	$148.59	$167.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $193.17 / $567.41	Facility		$131.11	$193.17	$567.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $180.36 / $324.64	Professional		$135.27	$180.36	$324.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $253.47 / $375.70	Facility		$174.81	$253.47	$375.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.17 / $384.58 / $539.17	Facility		$261.17	$384.58	$539.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $899.96 / $899.96	Professional		$139.85	$899.96	$899.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $312.02 / $811.24	Professional		$157.33	$312.02	$811.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $234.25 / $323.39	Professional		$174.81	$234.25	$323.39
United Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $218.51 / $218.51	Facility		$218.51	$218.51	$218.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $360.00	Professional		$73.42	$104.89	$360.00