Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.74 / $195.99 / $403.95	Facility		$84.74	$195.99	$403.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $117.24 / $261.24	Professional		$76.45	$117.24	$261.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $151.93 / $440.91	Facility		$91.28	$151.93	$440.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $121.54 / $256.69	Professional		$41.24	$121.54	$256.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $184.77 / $273.88	Facility		$127.43	$184.77	$273.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $207.08 / $353.59	Facility		$99.29	$207.08	$353.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $171.08 / $493.16	Professional		$63.53	$171.08	$493.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $174.66 / $992.73	Professional		$127.43	$174.66	$992.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $178.40 / $235.75	Professional		$154.19	$178.40	$235.75
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $82.49 / $262.43	Professional		$53.52	$82.49	$262.43