Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.51 / $254.75 / $612.60	Facility		$128.51	$254.75	$612.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $176.20 / $215.90	Professional		$128.51	$176.20	$215.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.32 / $210.64 / $668.65	Facility		$128.32	$210.64	$668.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $157.97 / $375.21	Professional		$57.97	$157.97	$375.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $270.55 / $415.49	Facility		$193.25	$270.55	$415.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $251.23	Professional		$193.25	$231.90	$251.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $314.02 / $536.04	Facility		$129.07	$314.02	$536.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $259.39 / $747.98	Professional		$88.68	$259.39	$747.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $265.01 / $1,506.71	Professional		$193.25	$265.01	$1,506.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $270.55 / $357.51	Professional		$233.83	$270.55	$357.51
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $338.28	Professional		$81.17	$115.95	$338.28