Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $215.10 / $536.30	Facility		$81.28	$215.10	$536.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $115.86 / $385.35	Professional		$81.28	$115.86	$385.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $156.15 / $422.88	Facility		$88.21	$156.15	$422.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $109.99 / $270.11	Professional		$45.27	$109.99	$270.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $177.22 / $262.69	Facility		$122.22	$177.22	$262.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $198.60 / $377.23	Facility		$108.98	$198.60	$377.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $172.66 / $518.15	Professional		$60.95	$172.66	$518.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $167.77 / $951.88	Professional		$122.22	$167.77	$951.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $171.11 / $226.11	Professional		$147.88	$171.11	$226.11
United Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $92.21 / $152.78	Facility		$92.21	$92.21	$152.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $83.37 / $222.09	Professional		$51.33	$83.37	$222.09