Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.71 / $381.70 / $1,209.99	Facility		$195.71	$381.70	$1,209.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $300.00 / $458.04	Professional		$118.93	$300.00	$458.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $414.49 / $1,320.68	Facility		$152.68	$414.49	$1,320.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $174.46 / $611.25	Professional		$114.51	$174.46	$611.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $534.38 / $820.66	Facility		$381.70	$534.38	$820.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $458.04 / $496.21	Professional		$381.70	$458.04	$496.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $600.41 / $1,058.90	Facility		$99.15	$600.41	$1,058.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $346.47 / $1,478.22	Professional		$76.34	$346.47	$1,478.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $523.58 / $2,975.38	Professional		$381.70	$523.58	$2,975.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $461.86 / $534.38 / $706.14	Professional		$461.86	$534.38	$706.14
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $160.31 / $786.07	Professional		$75.86	$160.31	$786.07