Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.86 / $190.73 / $372.10	Facility		$137.86	$190.73	$372.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $180.36 / $231.61	Professional		$137.86	$180.36	$231.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $264.86 / $717.29	Facility		$182.43	$264.86	$717.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $207.31 / $342.06	Professional		$82.92	$207.31	$342.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $300.60 / $445.57	Facility		$207.31	$300.60	$445.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $336.88 / $639.49	Facility		$206.72	$336.88	$639.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $184.24 / $620.16	Professional		$98.37	$184.24	$620.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $284.26 / $1,615.50	Professional		$207.31	$284.26	$1,615.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $290.23 / $383.52	Professional		$250.85	$290.23	$383.52
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $362.90	Professional		$87.07	$124.39	$362.90