Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.61 / $453.05 / $808.51	Facility		$169.61	$453.05	$808.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $221.89 / $284.95	Professional		$169.61	$221.89	$284.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $280.56 / $882.47	Facility		$166.10	$280.56	$882.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $118.42 / $500.41	Professional		$76.51	$118.42	$500.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $369.82 / $548.17	Facility		$255.05	$369.82	$548.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.35 / $449.61 / $786.84	Facility		$170.35	$449.61	$786.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $291.72 / $987.59	Professional		$117.00	$291.72	$987.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $349.74 / $1,988.11	Professional		$255.05	$349.74	$1,988.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $308.61 / $313.70	Professional		$308.61	$308.61	$313.70
United Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $153.03 / $446.47	Professional		$107.12	$153.03	$446.47