Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.70 / $541.42 / $966.25	Facility		$202.70	$541.42	$966.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $265.18 / $340.54	Professional		$202.70	$265.18	$340.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $336.82 / $1,054.64	Facility		$198.50	$336.82	$1,054.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $121.92 / $598.04	Professional		$76.80	$121.92	$598.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $441.97 / $655.13	Facility		$304.81	$441.97	$655.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $495.33 / $845.43	Facility		$279.02	$495.33	$845.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $465.65 / $1,716.08	Professional		$139.03	$465.65	$1,716.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $396.25 / $2,377.05	Professional		$274.33	$396.25	$2,377.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $426.73 / $563.90	Professional		$368.82	$426.73	$563.90
United Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $274.33 / $274.33	Facility		$274.33	$274.33	$274.33
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $533.57	Professional		$128.02	$182.89	$533.57