Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $188.12 / $502.48	Facility		$188.12	$188.12	$502.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $240.45 / $271.56	Professional		$188.12	$240.45	$271.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $307.18 / $469.58	Facility		$212.16	$307.18	$469.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $228.90 / $282.88	Professional		$171.67	$228.90	$282.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $410.18 / $607.99	Facility		$282.88	$410.18	$607.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $622.34 / $872.52	Facility		$367.74	$622.34	$872.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.44 / $1,591.44 / $1,591.44	Professional		$1,591.44	$1,591.44	$1,591.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $447.50 / $2,205.69	Professional		$254.59	$447.50	$2,205.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $396.03 / $523.33	Professional		$342.28	$396.03	$523.33
United Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $353.60 / $353.60	Facility		$353.60	$353.60	$353.60
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $495.18	Professional		$118.81	$169.73	$495.18