Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $234.43 / $557.90	Facility		$110.06	$234.43	$557.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $129.10 / $184.90	Professional		$110.06	$129.10	$184.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $179.73 / $572.66	Facility		$109.89	$179.73	$572.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $132.74 / $315.24	Professional		$49.65	$132.74	$315.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $239.99 / $355.74	Facility		$165.51	$239.99	$355.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $268.95 / $458.92	Facility		$108.45	$268.95	$458.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $222.21 / $640.22	Professional		$75.43	$222.21	$640.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $227.10 / $1,289.11	Professional		$165.51	$227.10	$1,289.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $231.71 / $306.19	Professional		$200.27	$231.71	$306.19
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $289.73	Professional		$69.51	$99.31	$289.73