Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.99 / $378.46 / $738.83	Facility		$154.99	$378.46	$738.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $216.76 / $384.69	Professional		$154.99	$216.76	$384.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $293.38 / $806.42	Facility		$168.22	$293.38	$806.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $220.04 / $508.09	Professional		$79.65	$220.04	$508.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $337.95 / $500.94	Facility		$233.07	$337.95	$500.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.74 / $378.75 / $671.60	Facility		$191.74	$378.75	$671.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $312.86 / $912.03	Professional		$116.26	$312.86	$912.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $319.87 / $1,816.76	Professional		$233.07	$319.87	$1,816.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $326.30 / $431.18	Professional		$282.01	$326.30	$431.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $146.69 / $423.51	Professional		$97.89	$146.69	$423.51