Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.12 / $425.07 / $1,044.55	Facility		$219.12	$425.07	$1,044.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $280.08 / $368.12	Professional		$219.12	$280.08	$368.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $357.82 / $1,140.09	Facility		$218.79	$357.82	$1,140.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $296.55 / $588.16	Professional		$98.85	$296.55	$588.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $477.79 / $708.22	Facility		$329.51	$477.79	$708.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $580.37 / $1,015.67	Facility		$215.68	$580.37	$1,015.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $285.36 / $985.87	Professional		$152.36	$285.36	$985.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $451.90 / $2,567.38	Professional		$329.51	$451.90	$2,567.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $461.31 / $609.59	Professional		$398.71	$461.31	$609.59
United Facility/Professional Facility Modifier Low / Median / High Price $296.56 / $296.56 / $296.56	Facility		$296.56	$296.56	$296.56
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $598.75	Professional		$138.38	$197.71	$598.75