Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $299.76 / $534.94	Facility		$112.22	$299.76	$534.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $146.81 / $188.53	Professional		$101.25	$146.81	$188.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $186.47 / $583.88	Facility		$109.90	$186.47	$583.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $67.50 / $331.09	Professional		$42.52	$67.50	$331.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $244.69 / $362.70	Facility		$168.75	$244.69	$362.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $265.44 / $468.34	Facility		$83.30	$265.44	$468.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $226.86 / $505.03	Professional		$76.80	$226.86	$505.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $219.38 / $1,316.30	Professional		$151.88	$219.38	$1,316.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $236.25 / $312.19	Professional		$204.19	$236.25	$312.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $306.64	Professional		$70.88	$101.25	$306.64