Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $497.36 / $887.60	Facility		$186.20	$497.36	$887.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $243.60 / $312.82	Professional		$186.20	$243.60	$312.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $309.39 / $968.80	Facility		$182.35	$309.39	$968.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $201.60 / $610.40	Professional		$84.00	$201.60	$610.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $406.00 / $601.79	Facility		$280.00	$406.00	$601.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $440.44 / $776.79	Facility		$85.82	$440.44	$776.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $427.63 / $1,575.82	Professional		$127.50	$427.63	$1,575.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $364.00 / $2,181.17	Professional		$252.00	$364.00	$2,181.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $392.00 / $518.00	Professional		$338.80	$392.00	$518.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $490.14	Professional		$117.60	$168.00	$490.14