Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $484.07 / $1,189.54	Facility		$249.54	$484.07	$1,189.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $326.47 / $419.23	Professional		$225.15	$326.47	$419.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.17 / $407.50 / $1,298.36	Facility		$249.17	$407.50	$1,298.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $337.72 / $646.57	Professional		$112.57	$337.72	$646.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $544.11 / $806.52	Facility		$375.25	$544.11	$806.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.09 / $660.98 / $1,156.72	Facility		$374.09	$660.98	$1,156.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $323.20 / $1,122.28	Professional		$172.57	$323.20	$1,122.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $514.71 / $2,923.67	Professional		$375.25	$514.71	$2,923.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $525.35 / $694.21	Professional		$454.05	$525.35	$694.21
United Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $337.73 / $375.25	Facility		$337.73	$337.73	$375.25
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $656.88	Professional		$157.61	$225.15	$656.88