Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $311.56 / $556.02	Facility		$116.64	$311.56	$556.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $152.60 / $195.96	Professional		$116.64	$152.60	$195.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $190.47 / $606.88	Facility		$116.47	$190.47	$606.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $157.16 / $296.29	Professional		$52.62	$157.16	$296.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $254.33 / $376.99	Facility		$175.40	$254.33	$376.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.79 / $309.29 / $541.28	Facility		$174.79	$309.29	$541.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $151.05 / $524.38	Professional		$80.65	$151.05	$524.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $240.47 / $1,368.00	Professional		$175.40	$240.47	$1,368.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $245.56 / $324.49	Professional		$212.23	$245.56	$324.49
United Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $219.25	Facility		$99.13	$99.13	$219.25
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $307.04	Professional		$73.67	$105.24	$307.04