Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $353.67	Facility		$127.68	$127.68	$353.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $167.04 / $184.32	Professional		$127.68	$167.04	$184.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $326.39 / $492.42	Facility		$70.29	$326.39	$492.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $103.75 / $470.01	Professional		$33.47	$103.75	$470.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.60 / $752.64 / $1,382.40	Facility		$537.60	$752.64	$1,382.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $676.51 / $1,065.49	Facility		$312.00	$676.51	$1,065.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.76 / $929.28 / $1,081.08	Professional		$629.76	$929.28	$1,081.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $499.20 / $896.18	Professional		$345.60	$499.20	$896.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $464.64 / $537.60 / $710.40	Professional		$464.64	$537.60	$710.40
United Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $172.80 / $172.80	Facility		$172.80	$172.80	$172.80
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $612.48	Professional		$80.64	$115.20	$612.48