Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $182.76 / $488.18	Facility		$182.76	$182.76	$488.18
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 $206.12 / $298.44 / $457.80	Facility		$206.12	$298.44	$457.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $228.90 / $274.83	Professional		$171.67	$228.90	$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 Facility Modifier Low / Median / High Price $343.54 / $343.54 / $343.54	Facility		$343.54	$343.54	$343.54
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $565.98	Professional		$115.43	$164.90	$565.98