Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $89.20 / $238.25	Facility		$89.20	$89.20	$238.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $114.01 / $128.76	Professional		$89.20	$114.01	$128.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $148.21 / $464.27	Facility		$100.60	$148.21	$464.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $279.68 / $279.68	Professional		$134.13	$279.68	$279.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $194.49 / $288.27	Facility		$134.13	$194.49	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $295.08 / $413.77	Facility		$200.37	$295.08	$413.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $324.58 / $350.08	Professional		$67.06	$324.58	$350.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $174.37 / $313.32	Professional		$120.72	$174.37	$313.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $187.78 / $248.14	Professional		$162.30	$187.78	$248.14
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $234.79	Professional		$56.33	$80.48	$234.79