Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $283.36 / $552.62	Facility		$204.82	$283.36	$552.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $267.95 / $344.10	Professional		$184.80	$267.95	$344.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.04 / $393.50 / $1,065.68	Facility		$271.04	$393.50	$1,065.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $308.00 / $508.20	Professional		$123.20	$308.00	$508.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $446.60 / $661.97	Facility		$308.00	$446.60	$661.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.01 / $500.50 / $949.83	Facility		$307.01	$500.50	$949.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $273.88 / $921.04	Professional		$146.24	$273.88	$921.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $422.42 / $2,401.50	Professional		$308.00	$422.42	$2,401.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.68 / $431.20 / $569.79	Professional		$372.68	$431.20	$569.79
United Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $277.20 / $277.20	Facility		$277.20	$277.20	$277.20
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $539.15	Professional		$129.36	$184.80	$539.15