Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.51 / $254.38 / $612.60	Facility		$128.51	$254.38	$612.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $168.13 / $215.90	Professional		$128.51	$168.13	$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 / $176.70 / $345.08	Professional		$57.97	$176.70	$345.08
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 / $340.34 / $595.60	Facility		$129.07	$340.34	$595.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $170.91 / $577.59	Professional		$91.25	$170.91	$577.59
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 Facility Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Facility		$173.93	$173.93	$173.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $338.28	Professional		$81.17	$115.95	$338.28