Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $355.26 / $634.00	Facility		$133.00	$355.26	$634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $184.00 / $242.12	Professional		$133.00	$184.00	$242.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $220.00 / $692.00	Facility		$121.83	$220.00	$692.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $100.00 / $392.40	Professional		$60.00	$100.00	$392.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $290.00 / $429.86	Facility		$200.00	$290.00	$429.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.30 / $325.00 / $616.49	Facility		$199.30	$325.00	$616.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $290.33 / $1,125.85	Professional		$91.12	$290.33	$1,125.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $260.00 / $1,558.41	Professional		$180.00	$260.00	$1,558.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $280.00 / $370.00	Professional		$242.00	$280.00	$370.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $350.10	Professional		$84.00	$120.00	$350.10