Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $522.57 / $1,358.74	Facility		$215.85	$522.57	$1,358.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $298.61 / $373.27	Professional		$215.85	$298.61	$373.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.38 / $353.78 / $1,123.05	Facility		$211.38	$353.78	$1,123.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $247.51 / $627.01	Professional		$97.37	$247.51	$627.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $454.41 / $697.85	Facility		$324.58	$454.41	$697.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $389.50 / $421.95	Professional		$324.58	$389.50	$421.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $527.45 / $900.93	Facility		$215.68	$527.45	$900.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $436.06 / $1,256.35	Professional		$148.07	$436.06	$1,256.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $444.80 / $2,529.35	Professional		$324.58	$444.80	$2,529.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.74 / $454.41 / $600.47	Professional		$392.74	$454.41	$600.47
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $568.17	Professional		$136.32	$194.75	$568.17