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 $172.56 / $386.24 / $386.24	Professional		$172.56	$386.24	$386.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $407.43 / $522.46	Facility		$163.69	$407.43	$522.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $98.61 / $366.68	Professional		$78.89	$98.61	$366.68
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 $558.91 / $717.71 / $1,255.98	Facility		$558.91	$717.71	$1,255.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $2,097.54 / $2,097.54	Professional		$144.21	$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 $103.54 / $147.91 / $713.21	Professional		$103.54	$147.91	$713.21