Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $266.45 / $475.50	Facility		$99.75	$266.45	$475.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $130.50 / $167.58	Professional		$99.75	$130.50	$167.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $165.75 / $519.00	Facility		$97.69	$165.75	$519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.00 / $294.30	Professional		$37.79	$60.00	$294.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $217.50 / $322.39	Facility		$150.00	$217.50	$322.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $243.75 / $462.91	Facility		$149.63	$243.75	$462.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $229.13 / $843.46	Professional		$68.30	$229.13	$843.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $195.00 / $1,169.47	Professional		$135.00	$195.00	$1,169.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $210.00 / $277.50	Professional		$181.50	$210.00	$277.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $262.58	Professional		$63.00	$90.00	$262.58