Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $225.85 / $554.15	Facility		$116.25	$225.85	$554.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $152.08 / $195.30	Professional		$104.89	$152.08	$195.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $189.83 / $604.84	Facility		$116.07	$189.83	$604.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $140.06 / $332.65	Professional		$52.44	$140.06	$332.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $244.73 / $375.84	Facility		$174.81	$244.73	$375.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $227.25	Professional		$174.81	$209.77	$227.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $284.08 / $485.26	Facility		$114.42	$284.08	$485.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $234.76 / $676.99	Professional		$79.70	$234.76	$676.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $239.82 / $1,362.53	Professional		$174.81	$239.82	$1,362.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $244.73 / $323.39	Professional		$211.52	$244.73	$323.39
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $317.64	Professional		$73.42	$104.89	$317.64