Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $161.37 / $314.62	Facility		$116.64	$161.37	$314.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $152.60 / $195.96	Professional		$116.64	$152.60	$195.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $224.09 / $606.88	Facility		$154.35	$224.09	$606.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $175.40 / $289.41	Professional		$70.16	$175.40	$289.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $254.33 / $376.99	Facility		$175.40	$254.33	$376.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.79 / $285.02 / $541.28	Facility		$174.79	$285.02	$541.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $156.02 / $524.38	Professional		$83.30	$156.02	$524.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $240.50 / $1,368.00	Professional		$175.40	$240.50	$1,368.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $245.56 / $324.49	Professional		$212.23	$245.56	$324.49
United Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $157.86 / $175.40	Facility		$157.86	$157.86	$175.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $307.04	Professional		$73.67	$105.24	$307.04