Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.86 / $425.07 / $766.82	Facility		$160.86	$425.07	$766.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $224.97 / $270.25	Professional		$160.86	$224.97	$270.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.59 / $309.05 / $836.97	Facility		$174.59	$309.05	$836.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $266.08 / $529.46	Professional		$89.59	$266.08	$529.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $350.76 / $519.90	Facility		$241.90	$350.76	$519.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $426.32 / $755.74	Facility		$215.68	$426.32	$755.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $219.69 / $754.70	Professional		$120.85	$219.69	$754.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $331.72 / $1,884.79	Professional		$241.90	$331.72	$1,884.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $338.66 / $447.51	Professional		$292.70	$338.66	$447.51
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $184.53 / $507.99	Professional		$108.86	$184.53	$507.99