Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.94 / $577.10 / $750.50	Facility		$270.94	$577.10	$750.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $386.24 / $386.24	Professional		$115.86	$386.24	$386.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $407.43 / $522.46	Facility		$109.89	$407.43	$522.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $66.20 / $309.02	Professional		$52.96	$66.20	$309.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $590.77 / $875.68	Facility		$407.43	$590.77	$875.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.06 / $717.71 / $1,255.98	Facility		$457.06	$717.71	$1,255.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $2,097.54 / $2,097.54	Professional		$96.82	$2,097.54	$2,097.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $728.04 / $1,891.34	Professional		$366.69	$728.04	$1,891.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $472.62 / $545.96 / $753.75	Professional		$472.62	$545.96	$753.75
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $575.98	Professional		$69.51	$99.31	$575.98