Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.96 / $368.52 / $1,255.09	Facility		$137.96	$368.52	$1,255.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $190.86 / $231.77	Professional		$137.96	$190.86	$231.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $265.05 / $717.81	Facility		$149.72	$265.05	$717.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $186.71 / $452.26	Professional		$76.83	$186.71	$452.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $300.82 / $445.90	Facility		$207.46	$300.82	$445.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.98 / $337.13 / $639.49	Facility		$184.98	$337.13	$639.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $292.97 / $879.86	Professional		$103.36	$292.97	$879.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $284.38 / $1,618.23	Professional		$207.46	$284.38	$1,618.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $290.44 / $383.80	Professional		$251.03	$290.44	$383.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $141.52 / $363.16	Professional		$87.13	$141.52	$363.16