Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $262.19 / $594.61	Facility		$116.64	$262.19	$594.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $136.81 / $195.96	Professional		$116.64	$136.81	$195.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $191.18 / $606.88	Facility		$116.47	$191.18	$606.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $143.40 / $340.57	Professional		$52.62	$143.40	$340.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $245.56 / $377.11	Facility		$175.40	$245.56	$377.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $228.02	Professional		$175.40	$210.48	$228.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $285.02 / $487.15	Facility		$117.15	$285.02	$487.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $235.69 / $679.52	Professional		$80.47	$235.69	$679.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $240.56 / $1,368.00	Professional		$175.40	$240.56	$1,368.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $245.56 / $324.49	Professional		$212.23	$245.56	$324.49
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $307.04	Professional		$73.67	$105.24	$307.04