Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.12 / $313.79 / $1,049.27	Facility		$220.12	$313.79	$1,049.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $287.97 / $369.80	Professional		$198.60	$287.97	$369.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.61 / $359.44 / $1,145.26	Facility		$184.61	$359.44	$1,145.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $193.84 / $499.81	Professional		$99.30	$193.84	$499.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $479.95 / $711.41	Facility		$331.00	$479.95	$711.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $520.66 / $918.79	Facility		$120.65	$520.66	$918.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $301.37 / $1,281.71	Professional		$92.87	$301.37	$1,281.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $454.06 / $2,580.96	Professional		$331.00	$454.06	$2,580.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.51 / $463.40 / $612.35	Professional		$400.51	$463.40	$612.35
United Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $166.15 / $681.66	Professional		$92.31	$166.15	$681.66