Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.09 / $314.57 / $709.31	Facility		$204.09	$314.57	$709.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $204.09 / $267.30	Professional		$157.53	$204.09	$267.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $473.78 / $747.03	Facility		$107.78	$473.78	$747.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.06 / $265.32 / $455.79	Professional		$128.06	$265.32	$455.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $80.80 / $147.75	Facility		$49.89	$80.80	$147.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Professional		$36.72	$36.72	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $127.18 / $314.57	Facility		$90.94	$127.18	$314.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $150.60 / $263.20	Professional		$92.29	$150.60	$263.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $115.54 / $274.88	Professional		$105.04	$115.54	$274.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $165.30 / $165.30	Professional		$132.19	$165.30	$165.30
United Facility/Professional Facility Modifier Low / Median / High Price $242.46 / $524.34 / $528.75	Facility		$242.46	$524.34	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $275.23 / $581.58	Professional		$119.45	$275.23	$581.58