Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $320.17 / $1,070.59	Facility		$167.09	$320.17	$1,070.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $293.83 / $377.31	Professional		$224.59	$293.83	$377.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.71 / $366.75 / $1,168.55	Facility		$134.71	$366.75	$1,168.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $142.47 / $506.60	Professional		$85.10	$142.47	$506.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $489.71 / $725.88	Facility		$337.73	$489.71	$725.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $531.25 / $937.60	Facility		$84.66	$531.25	$937.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $306.77 / $1,307.07	Professional		$65.20	$306.77	$1,307.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $463.10 / $2,632.67	Professional		$337.73	$463.10	$2,632.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.65 / $472.82 / $624.79	Professional		$408.65	$472.82	$624.79
United Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $141.85 / $613.69	Professional		$64.77	$141.85	$613.69