Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $123.16 / $328.98	Facility		$123.16	$123.16	$328.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $157.41 / $177.79	Professional		$123.16	$157.41	$177.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $204.65 / $385.22	Facility		$138.90	$204.65	$385.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $228.90 / $228.90	Professional		$166.68	$228.90	$228.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $268.54 / $398.05	Facility		$185.20	$268.54	$398.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.76 / $407.44 / $571.54	Facility		$240.76	$407.44	$571.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.09 / $1,042.09 / $1,042.09	Professional		$1,042.09	$1,042.09	$1,042.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $293.05 / $1,444.15	Professional		$166.68	$293.05	$1,444.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $259.27 / $342.62	Professional		$224.09	$259.27	$342.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $336.53	Professional		$77.78	$111.12	$336.53