Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.84 / $213.30 / $676.16	Facility		$141.84	$213.30	$676.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $166.37 / $238.29	Professional		$127.98	$166.37	$238.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $231.63 / $738.02	Facility		$138.91	$231.63	$738.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $153.57 / $352.80	Professional		$63.99	$153.57	$352.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $309.29 / $458.44	Facility		$213.30	$309.29	$458.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $335.52 / $591.54	Facility		$99.15	$335.52	$591.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $244.35 / $825.32	Professional		$76.34	$244.35	$825.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $292.39 / $1,661.73	Professional		$213.30	$292.39	$1,661.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $298.62 / $394.61	Professional		$258.08	$298.62	$394.61
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $127.98 / $373.38	Professional		$84.96	$127.98	$373.38