Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.27 / $225.62 / $754.46	Facility		$158.27	$225.62	$754.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $202.30 / $265.89	Professional		$142.80	$202.30	$265.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.99 / $258.45 / $823.48	Facility		$154.99	$258.45	$823.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $171.36 / $381.13	Professional		$71.40	$171.36	$381.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $345.10 / $511.52	Facility		$238.00	$345.10	$511.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $374.37 / $660.18	Facility		$105.67	$374.37	$660.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $263.94 / $921.67	Professional		$81.37	$263.94	$921.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $326.52 / $1,854.88	Professional		$238.00	$326.52	$1,854.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $333.20 / $440.30	Professional		$287.98	$333.20	$440.30
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $142.80 / $416.62	Professional		$80.84	$142.80	$416.62