Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $388.48 / $699.75	Facility		$146.79	$388.48	$699.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $209.26 / $246.61	Professional		$146.79	$209.26	$246.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.32 / $282.01 / $763.76	Facility		$159.32	$282.01	$763.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $198.66 / $487.84	Professional		$81.75	$198.66	$487.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $320.07 / $474.45	Facility		$220.74	$320.07	$474.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.82 / $358.70 / $680.23	Facility		$196.82	$358.70	$680.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $311.93 / $936.44	Professional		$109.97	$311.93	$936.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $302.48 / $1,721.56	Professional		$220.74	$302.48	$1,721.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $309.04 / $408.37	Professional		$267.10	$309.04	$408.37
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $150.58 / $401.11	Professional		$92.71	$150.58	$401.11