Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $517.53 / $923.61	Facility		$193.75	$517.53	$923.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $253.48 / $335.06	Professional		$180.64	$253.48	$335.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.46 / $316.39 / $1,008.11	Facility		$193.46	$316.39	$1,008.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $261.08 / $492.18	Professional		$87.40	$261.08	$492.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $422.47 / $626.22	Facility		$291.36	$422.47	$626.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.57 / $513.50 / $898.63	Facility		$290.57	$513.50	$898.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $250.62 / $871.70	Professional		$133.81	$250.62	$871.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $399.83 / $2,270.91	Professional		$291.36	$399.83	$2,270.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $407.90 / $539.02	Professional		$352.55	$407.90	$539.02
United Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $262.22 / $262.22	Facility		$262.22	$262.22	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $510.03	Professional		$122.37	$174.82	$510.03