Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $218.27 / $412.33	Facility		$80.88	$218.27	$412.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $111.90 / $217.58	Professional		$80.88	$111.90	$217.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $155.38 / $420.84	Facility		$87.79	$155.38	$420.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $133.79 / $266.20	Professional		$45.04	$133.79	$266.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $176.36 / $261.42	Facility		$121.63	$176.36	$261.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $214.36 / $379.92	Facility		$108.45	$214.36	$379.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $110.46 / $379.81	Professional		$60.75	$110.46	$379.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $166.78 / $949.15	Professional		$121.63	$166.78	$949.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.30 / $1,780.56 / $2,227.32	Facility		$1,482.30	$1,780.56	$2,227.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $170.28 / $225.02	Professional		$147.16	$170.28	$225.02
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $82.84 / $221.01	Professional		$51.08	$82.84	$221.01