Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $262.80 / $585.55	Facility		$114.87	$262.80	$585.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $134.72 / $192.98	Professional		$103.64	$134.72	$192.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $203.72 / $597.65	Facility		$122.41	$203.72	$597.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $152.79 / $344.21	Professional		$55.30	$152.79	$344.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $250.46 / $371.25	Facility		$172.73	$250.46	$371.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $280.68 / $479.62	Facility		$133.13	$280.68	$479.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $231.97 / $669.38	Professional		$86.05	$231.97	$669.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $236.81 / $1,346.29	Professional		$172.73	$236.81	$1,346.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $241.82 / $319.55	Professional		$209.00	$241.82	$319.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $114.08 / $362.73	Professional		$77.73	$114.08	$362.73