Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.51 / $249.29 / $612.60	Facility		$128.51	$249.29	$612.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $164.26 / $215.90	Professional		$128.51	$164.26	$215.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.32 / $209.86 / $668.65	Facility		$128.32	$209.86	$668.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $173.92 / $332.98	Professional		$57.97	$173.92	$332.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $280.20 / $415.36	Facility		$193.25	$280.20	$415.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $340.34 / $595.60	Facility		$192.53	$340.34	$595.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $166.56 / $577.59	Professional		$88.93	$166.56	$577.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $270.72 / $1,506.71	Professional		$193.25	$270.72	$1,506.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $270.55 / $357.51	Professional		$233.83	$270.55	$357.51
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $338.28	Professional		$81.17	$115.95	$338.28