Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $243.35 / $434.29	Facility		$91.11	$243.35	$434.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $119.19 / $153.07	Professional		$91.11	$119.19	$153.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $148.77 / $474.02	Facility		$90.97	$148.77	$474.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $122.76 / $231.43	Professional		$41.10	$122.76	$231.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $198.65 / $294.45	Facility		$137.00	$198.65	$294.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.74 / $241.23 / $422.14	Facility		$136.74	$241.23	$422.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $117.87 / $410.21	Professional		$62.93	$117.87	$410.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $187.98 / $1,068.88	Professional		$137.00	$187.98	$1,068.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $191.80 / $253.45	Professional		$165.77	$191.80	$253.45
United Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $123.30 / $137.00	Facility		$123.30	$123.30	$137.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $248.94	Professional		$57.54	$82.20	$248.94