Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.86 / $385.25 / $766.82	Facility		$160.86	$385.25	$766.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $210.45 / $278.19	Professional		$160.86	$210.45	$278.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.59 / $298.64 / $836.97	Facility		$174.59	$298.64	$836.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $254.00 / $492.75	Professional		$89.59	$254.00	$492.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $350.76 / $519.90	Facility		$241.90	$350.76	$519.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.23 / $426.32 / $746.06	Facility		$241.23	$426.32	$746.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $219.69 / $723.68	Professional		$120.85	$219.69	$723.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $331.71 / $1,884.79	Professional		$241.90	$331.71	$1,884.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $338.66 / $447.51	Professional		$292.70	$338.66	$447.51
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $167.24 / $439.56	Professional		$101.60	$167.24	$439.56