Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $389.28 / $7,587.00	Facility		$182.76	$389.28	$7,587.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.76 / $233.61 / $263.83	Professional		$182.76	$233.61	$263.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $274.83 / $352.42	Facility		$152.19	$274.83	$352.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $274.83	Professional		$109.93	$109.93	$274.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $398.50 / $590.67	Facility		$274.83	$398.50	$590.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $604.63 / $847.42	Facility		$357.28	$604.63	$847.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.60 / $1,546.60 / $1,546.60	Professional		$1,546.60	$1,546.60	$1,546.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $434.72 / $2,143.14	Professional		$247.35	$434.72	$2,143.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $384.76 / $508.44	Professional		$332.54	$384.76	$508.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $502.11	Professional		$115.43	$164.90	$502.11