Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $348.44 / $671.19	Facility		$131.66	$348.44	$671.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $172.25 / $221.19	Professional		$131.66	$172.25	$221.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $252.95 / $685.05	Facility		$142.90	$252.95	$685.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $178.19 / $431.62	Professional		$73.31	$178.19	$431.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $287.08 / $425.52	Facility		$197.99	$287.08	$425.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $321.73 / $610.23	Facility		$176.53	$321.73	$610.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $279.77 / $839.91	Professional		$98.68	$279.77	$839.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $271.44 / $1,542.08	Professional		$197.99	$271.44	$1,542.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $277.19 / $366.28	Professional		$239.57	$277.19	$366.28
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $135.06 / $359.77	Professional		$83.16	$135.06	$359.77