Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $225.51 / $554.15	Facility		$116.25	$225.51	$554.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $148.59 / $195.30	Professional		$104.89	$148.59	$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 / $157.32 / $301.20	Professional		$52.44	$157.32	$301.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $253.47 / $375.70	Facility		$174.81	$253.47	$375.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $308.10 / $539.17	Facility		$174.15	$308.10	$539.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $150.74 / $522.44	Professional		$80.48	$150.74	$522.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $239.65 / $1,362.53	Professional		$174.81	$239.65	$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 / $367.10	Professional		$73.42	$104.89	$367.10