Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $541.01 / $955.28	Facility		$200.40	$541.01	$955.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $262.17 / $336.67	Professional		$200.40	$262.17	$336.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $355.59 / $1,042.67	Facility		$247.11	$355.59	$1,042.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $301.35 / $575.58	Professional		$120.54	$301.35	$575.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $436.96 / $647.67	Facility		$301.35	$436.96	$647.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.56 / $489.70 / $928.94	Facility		$300.56	$489.70	$928.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $494.21 / $1,696.62	Professional		$150.28	$494.21	$1,696.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $391.76 / $2,349.79	Professional		$271.22	$391.76	$2,349.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $421.89 / $557.50	Professional		$364.63	$421.89	$557.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $527.51	Professional		$126.57	$180.81	$527.51