Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.93 / $367.68 / $662.28	Facility		$138.93	$367.68	$662.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $177.58 / $233.40	Professional		$138.93	$177.58	$233.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.79 / $266.91 / $722.86	Facility		$150.79	$266.91	$722.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $188.02 / $455.45	Professional		$77.37	$188.02	$455.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $302.93 / $449.04	Facility		$208.92	$302.93	$449.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.28 / $339.50 / $644.70	Facility		$186.28	$339.50	$644.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $295.01 / $886.52	Professional		$104.17	$295.01	$886.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $286.44 / $1,629.09	Professional		$208.92	$286.44	$1,629.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $292.49 / $386.50	Professional		$252.79	$292.49	$386.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $142.51 / $379.63	Professional		$87.75	$142.51	$379.63