Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $245.98 / $641.61	Facility		$134.60	$245.98	$641.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $172.04 / $226.13	Professional		$134.60	$172.04	$226.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $219.79 / $700.30	Facility		$134.38	$219.79	$700.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $172.04 / $370.01	Professional		$60.72	$172.04	$370.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $293.48 / $435.02	Facility		$202.40	$293.48	$435.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $328.90 / $561.41	Facility		$124.62	$328.90	$561.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $271.95 / $783.48	Professional		$92.36	$271.95	$783.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $277.85 / $1,577.46	Professional		$202.40	$277.85	$1,577.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $283.36 / $374.44	Professional		$244.90	$283.36	$374.44
United Facility/Professional Facility Modifier Low / Median / High Price $182.16 / $182.16 / $182.16	Facility		$182.16	$182.16	$182.16
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $115.03 / $354.30	Professional		$85.01	$115.03	$354.30