Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $376.42 / $923.61	Facility		$193.75	$376.42	$923.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $224.80 / $325.50	Professional		$193.75	$224.80	$325.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.46 / $316.39 / $1,008.11	Facility		$193.46	$316.39	$1,008.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $233.44 / $554.41	Professional		$87.40	$233.44	$554.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $407.90 / $626.41	Facility		$291.36	$407.90	$626.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $349.63 / $378.77	Professional		$291.36	$349.63	$378.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $473.45 / $808.76	Facility		$190.71	$473.45	$808.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $391.43 / $1,128.31	Professional		$132.79	$391.43	$1,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $399.52 / $2,270.91	Professional		$291.36	$399.52	$2,270.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $407.90 / $539.02	Professional		$352.55	$407.90	$539.02
United Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $174.82 / $611.86	Professional		$122.56	$174.82	$611.86