Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $200.40 / $535.29	Facility		$200.40	$200.40	$535.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $256.14 / $289.30	Professional		$200.40	$256.14	$289.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $327.25 / $480.69	Facility		$226.01	$327.25	$480.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $228.90 / $301.35	Professional		$180.81	$228.90	$301.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $436.96 / $647.67	Facility		$301.35	$436.96	$647.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $662.97 / $928.94	Facility		$391.76	$662.97	$928.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.62 / $1,696.62 / $1,696.62	Professional		$1,696.62	$1,696.62	$1,696.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $476.65 / $2,349.79	Professional		$271.22	$476.65	$2,349.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $421.89 / $557.50	Professional		$364.63	$421.89	$557.50
United Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $271.22 / $271.22	Facility		$271.22	$271.22	$271.22
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $527.51	Professional		$126.57	$180.81	$527.51