Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $933.25	Facility		$181.97	$501.19	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $331.13	Professional		$181.97	$234.42	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $691.83	Facility		$245.47	$354.81	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $457.09	Professional		$117.49	$275.42	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $371.54	Professional		$331.13	$354.81	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $831.76	Facility		$275.42	$537.03	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $1,548.82	Professional		$138.04	$380.19	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $2,137.96	Professional		$245.47	$316.23	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $588.84	Professional		$275.42	$338.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Facility		$245.47	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $380.19	Professional		$114.82	$165.96	$380.19