Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $328.98 / $587.08	Facility		$123.16	$328.98	$587.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $161.12 / $206.91	Professional		$123.16	$161.12	$206.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $201.11 / $640.79	Facility		$122.97	$201.11	$640.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $165.95 / $312.83	Professional		$55.56	$165.95	$312.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $268.54 / $398.05	Facility		$185.20	$268.54	$398.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.79 / $326.61 / $571.54	Facility		$184.79	$326.61	$571.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $159.43 / $554.37	Professional		$85.12	$159.43	$554.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $254.10 / $1,444.15	Professional		$185.20	$254.10	$1,444.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $259.27 / $342.62	Professional		$224.09	$259.27	$342.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $324.19	Professional		$77.78	$111.12	$324.19