Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $278.44	Facility		$104.24	$104.24	$278.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $136.37 / $150.47	Professional		$104.24	$136.37	$150.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $156.75 / $201.01	Facility		$22.04	$156.75	$201.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $156.75	Professional		$13.28	$13.28	$156.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $227.29 / $336.90	Facility		$156.75	$227.29	$336.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.78 / $344.85 / $483.81	Facility		$203.78	$344.85	$483.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.38 / $882.38 / $882.38	Professional		$882.38	$882.38	$882.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $172.43 / $219.45	Professional		$141.08	$172.43	$219.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $219.45 / $289.99	Professional		$205.34	$219.45	$289.99
United Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $195.94 / $195.94	Facility		$195.94	$195.94	$195.94
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $274.39	Professional		$65.84	$94.05	$274.39