Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.50 / $425.07 / $1,017.00	Facility		$199.50	$425.07	$1,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $276.00 / $335.16	Professional		$199.50	$276.00	$335.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $330.00 / $1,038.00	Facility		$199.20	$330.00	$1,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $295.27 / $576.64	Professional		$90.00	$295.27	$576.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $435.00 / $644.79	Facility		$300.00	$435.00	$644.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $528.42 / $924.74	Facility		$215.68	$528.42	$924.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $272.31 / $896.86	Professional		$149.47	$272.31	$896.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $411.10 / $2,338.94	Professional		$300.00	$411.10	$2,338.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $420.00 / $555.00	Professional		$363.00	$420.00	$555.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $545.13	Professional		$126.00	$180.00	$545.13