Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.51 / $177.79 / $346.55	Facility		$128.51	$177.79	$346.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $168.13 / $215.90	Professional		$128.51	$168.13	$215.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.06 / $246.90 / $668.65	Facility		$170.06	$246.90	$668.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $193.25 / $318.86	Professional		$77.30	$193.25	$318.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $280.20 / $415.36	Facility		$193.25	$280.20	$415.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $314.02 / $595.60	Facility		$192.53	$314.02	$595.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $171.84 / $577.59	Professional		$91.75	$171.84	$577.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $264.89 / $1,506.71	Professional		$193.25	$264.89	$1,506.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $270.55 / $357.51	Professional		$233.83	$270.55	$357.51
United Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Facility		$173.93	$173.93	$173.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $338.28	Professional		$81.17	$115.95	$338.28