Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $495.59 / $884.43	Facility		$185.54	$495.59	$884.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $217.62 / $311.70	Professional		$139.50	$217.62	$311.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $306.89 / $965.34	Facility		$154.50	$306.89	$965.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $111.60 / $446.79	Professional		$70.30	$111.60	$446.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $390.60 / $599.85	Facility		$279.00	$390.60	$599.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $334.80 / $362.70	Professional		$279.00	$334.80	$362.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $438.87 / $773.96	Facility		$66.00	$438.87	$773.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $319.33 / $1,200.00	Professional		$70.59	$319.33	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $383.10 / $2,175.79	Professional		$279.00	$383.10	$2,175.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.59 / $390.60 / $516.15	Professional		$337.59	$390.60	$516.15
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $139.50 / $574.57	Professional		$71.31	$139.50	$574.57