Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $341.15 / $624.40	Facility		$123.16	$341.15	$624.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $189.83 / $393.01	Professional		$111.12	$189.83	$393.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $236.60 / $640.79	Facility		$162.97	$236.60	$640.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $185.20 / $305.58	Professional		$74.08	$185.20	$305.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $259.27 / $398.18	Facility		$185.20	$259.27	$398.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $240.76	Professional		$185.20	$222.24	$240.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.79 / $300.95 / $571.54	Facility		$184.79	$300.95	$571.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $164.70 / $554.37	Professional		$87.94	$164.70	$554.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $254.36 / $1,444.15	Professional		$185.20	$254.36	$1,444.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $603.11 / $606.26 / $639.35	Facility		$603.11	$606.26	$639.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $259.27 / $342.62	Professional		$224.09	$259.27	$342.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $388.92	Professional		$77.78	$111.12	$388.92