Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $602.44 / $3,695.26	Facility		$119.59	$602.44	$3,695.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $98.23 / $168.27	Professional		$64.08	$98.23	$168.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $505.00 / $1,021.02	Facility		$65.01	$505.00	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $96.76 / $232.91	Professional		$64.20	$96.76	$232.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $120.47 / $158.91	Facility		$34.40	$120.47	$158.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $94.11 / $251.79	Professional		$25.74	$94.11	$251.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $205.78 / $268.00	Facility		$74.38	$205.78	$268.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $113.70 / $369.14	Professional		$72.22	$113.70	$369.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $413.00 / $413.00	Professional		$180.00	$413.00	$413.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $926.01 / $993.27 / $1,112.33	Facility		$926.01	$993.27	$1,112.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $68.23 / $185.80	Professional		$46.20	$68.23	$185.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $107.59 / $284.52	Professional		$67.16	$107.59	$284.52