Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.33 / $285.94 / $645.10	Facility		$135.33	$285.94	$645.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $172.98 / $227.35	Professional		$135.33	$172.98	$227.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.12 / $222.88 / $704.11	Facility		$135.12	$222.88	$704.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $183.15 / $399.27	Professional		$61.05	$183.15	$399.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $295.08 / $437.39	Facility		$203.50	$295.08	$437.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $330.70 / $565.20	Facility		$144.87	$330.70	$565.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $273.35 / $787.28	Professional		$99.46	$273.35	$787.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $279.08 / $1,585.59	Professional		$203.50	$279.08	$1,585.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $284.89 / $376.48	Professional		$246.24	$284.89	$376.48
United Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $122.58 / $254.38	Facility		$122.58	$122.58	$254.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $356.23	Professional		$85.47	$122.10	$356.23