Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $186.72 / $395.84	Facility		$83.04	$186.72	$395.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $114.88 / $201.04	Professional		$83.04	$114.88	$201.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $135.60 / $432.05	Facility		$82.92	$135.60	$432.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $112.38 / $222.89	Professional		$37.46	$112.38	$222.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $181.06 / $268.39	Facility		$124.87	$181.06	$268.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $219.73 / $384.55	Facility		$81.73	$219.73	$384.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $108.25 / $373.45	Professional		$57.80	$108.25	$373.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $171.43 / $973.67	Professional		$124.87	$171.43	$973.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $174.82 / $231.01	Professional		$151.09	$174.82	$231.01
United Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $112.38 / $112.38	Facility		$112.38	$112.38	$112.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $218.58	Professional		$52.45	$74.92	$218.58