Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $283.07 / $680.35	Facility		$142.72	$283.07	$680.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $186.72 / $246.81	Professional		$142.72	$186.72	$246.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $233.93 / $742.59	Facility		$142.51	$233.93	$742.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $175.54 / $416.91	Professional		$64.38	$175.54	$416.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $311.20 / $461.29	Facility		$214.62	$311.20	$461.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $348.75 / $595.29	Facility		$143.41	$348.75	$595.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $288.22 / $830.39	Professional		$98.50	$288.22	$830.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $294.48 / $1,672.59	Professional		$214.62	$294.48	$1,672.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.69 / $300.47 / $397.05	Professional		$259.69	$300.47	$397.05
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $375.69	Professional		$90.14	$128.77	$375.69