Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.86 / $364.85 / $657.17	Facility		$137.86	$364.85	$657.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $180.36 / $231.61	Professional		$137.86	$180.36	$231.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $264.86 / $717.29	Facility		$149.63	$264.86	$717.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $102.38 / $440.71	Professional		$76.78	$102.38	$440.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $300.60 / $445.57	Facility		$207.31	$300.60	$445.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $336.88 / $639.49	Facility		$184.85	$336.88	$639.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $292.97 / $878.75	Professional		$103.36	$292.97	$878.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $284.54 / $1,615.50	Professional		$207.31	$284.54	$1,615.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $290.23 / $383.52	Professional		$250.85	$290.23	$383.52
United Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $186.58 / $254.55	Facility		$186.58	$186.58	$254.55
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $141.41 / $376.70	Professional		$87.07	$141.41	$376.70