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 $178.98 / $274.83 / $352.42	Facility		$178.98	$274.83	$352.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $219.86 / $453.47	Professional		$109.93	$219.86	$453.47
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 $450.72 / $665.09 / $1,546.60	Professional		$450.72	$665.09	$1,546.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $357.28 / $641.74	Professional		$247.35	$357.28	$641.74
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 Professional Modifier Low / Median / High Price $115.43 / $164.90 / $499.39	Professional		$115.43	$164.90	$499.39