Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.93 / $176.64 / $608.64	Facility		$107.93	$176.64	$608.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $167.04 / $214.50	Professional		$127.68	$167.04	$214.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $171.00 / $246.21	Facility		$55.56	$171.00	$246.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $92.03 / $235.00	Professional		$25.10	$92.03	$235.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $278.39 / $412.67	Facility		$192.00	$278.39	$412.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $302.02 / $592.48	Facility		$66.00	$302.02	$592.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $98.94 / $501.12	Professional		$41.85	$98.94	$501.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $263.70 / $1,495.85	Professional		$192.00	$263.70	$1,495.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $268.80 / $355.20	Professional		$232.32	$268.80	$355.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $80.64 / $336.10	Professional		$41.84	$80.64	$336.10