Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $173.23 / $462.74	Facility		$173.23	$173.23	$462.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $221.43 / $250.08	Professional		$173.23	$221.43	$250.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.81 / $260.50 / $334.05	Facility		$119.81	$260.50	$334.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $260.50	Professional		$57.05	$57.05	$260.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $377.73 / $559.89	Facility		$260.50	$377.73	$559.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.19 / $573.10 / $803.53	Facility		$389.19	$573.10	$803.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $630.41 / $679.91	Professional		$130.25	$630.41	$679.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $338.65 / $607.77	Professional		$234.45	$338.65	$607.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $364.70 / $481.93	Professional		$315.20	$364.70	$481.93
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $473.35	Professional		$109.41	$156.30	$473.35