Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $295.13 / $863.10	Facility		$109.03	$295.13	$863.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $120.59 / $183.17	Professional		$98.38	$120.59	$183.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.34 / $209.47 / $567.29	Facility		$118.34	$209.47	$567.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $80.97 / $348.56	Professional		$60.72	$80.97	$348.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $237.74 / $352.38	Facility		$163.96	$237.74	$352.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.19 / $266.43 / $505.75	Facility		$146.19	$266.43	$505.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $231.56 / $695.68	Professional		$81.75	$231.56	$695.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $224.83 / $1,278.26	Professional		$163.96	$224.83	$1,278.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.25 / $1,110.25 / $1,110.25	Facility		$1,110.25	$1,110.25	$1,110.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $229.54 / $303.33	Professional		$198.39	$229.54	$303.33
United Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $147.56 / $201.32	Facility		$147.56	$147.56	$201.32
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $111.85 / $297.93	Professional		$68.86	$111.85	$297.93