Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.12 / $425.07 / $1,044.55	Facility		$219.12	$425.07	$1,044.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $286.67 / $378.94	Professional		$219.12	$286.67	$378.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $357.82 / $1,140.09	Facility		$218.79	$357.82	$1,140.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $296.55 / $567.74	Professional		$98.85	$296.55	$567.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $477.79 / $708.22	Facility		$329.51	$477.79	$708.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.62 / $580.37 / $1,015.67	Facility		$328.62	$580.37	$1,015.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $328.59 / $1,007.39	Professional		$164.20	$328.59	$1,007.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $451.76 / $2,567.38	Professional		$329.51	$451.76	$2,567.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $461.31 / $609.59	Professional		$398.71	$461.31	$609.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $576.80	Professional		$138.38	$197.71	$576.80