Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $415.65 / $741.78	Facility		$155.61	$415.65	$741.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $182.52 / $261.43	Professional		$140.40	$182.52	$261.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $258.57 / $809.64	Facility		$152.38	$258.57	$809.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $93.60 / $459.11	Professional		$58.96	$93.60	$459.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $339.30 / $502.95	Facility		$234.00	$339.30	$502.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $368.08 / $649.85	Facility		$129.10	$368.08	$649.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $357.09 / $1,316.77	Professional		$106.63	$357.09	$1,316.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $304.20 / $1,824.88	Professional		$210.60	$304.20	$1,824.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $327.60 / $432.90	Professional		$283.14	$327.60	$432.90
United Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $210.60 / $210.60	Facility		$210.60	$210.60	$210.60
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $409.62	Professional		$98.28	$140.40	$409.62