Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $502.48 / $896.73	Facility		$188.12	$502.48	$896.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $246.11 / $316.04	Professional		$188.12	$246.11	$316.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.83 / $307.18 / $978.76	Facility		$187.83	$307.18	$978.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $253.48 / $477.86	Professional		$84.86	$253.48	$477.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $410.18 / $607.99	Facility		$282.88	$410.18	$607.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.18 / $498.57 / $872.52	Facility		$282.18	$498.57	$872.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $243.49 / $846.55	Professional		$130.01	$243.49	$846.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $388.21 / $2,205.69	Professional		$282.88	$388.21	$2,205.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $396.03 / $523.33	Professional		$342.28	$396.03	$523.33
United Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $254.59 / $254.59	Facility		$254.59	$254.59	$254.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $495.18	Professional		$118.81	$169.73	$495.18