Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $381.57 / $937.65	Facility		$196.70	$381.57	$937.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $230.72 / $330.46	Professional		$177.47	$230.72	$330.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.41 / $321.20 / $1,023.43	Facility		$196.41	$321.20	$1,023.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $266.20 / $527.98	Professional		$88.74	$266.20	$527.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $414.11 / $635.95	Facility		$295.79	$414.11	$635.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $354.95 / $384.53	Professional		$295.79	$354.95	$384.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.61 / $521.26 / $912.21	Facility		$193.61	$521.26	$912.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $256.20 / $884.28	Professional		$136.80	$256.20	$884.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $405.49 / $2,306.29	Professional		$295.79	$405.49	$2,306.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $414.11 / $547.21	Professional		$357.91	$414.11	$547.21
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $517.78	Professional		$124.23	$177.47	$517.78