Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.80 / $608.16 / $1,095.46	Facility		$229.80	$608.16	$1,095.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $298.64 / $386.06	Professional		$217.71	$298.64	$386.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.42 / $441.50 / $1,195.67	Facility		$249.42	$441.50	$1,195.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $353.58 / $763.71	Professional		$127.98	$353.58	$763.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $501.08 / $742.73	Facility		$345.57	$501.08	$742.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.12 / $561.54 / $1,065.82	Facility		$308.12	$561.54	$1,065.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $488.27 / $1,465.69	Professional		$172.21	$488.27	$1,465.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $473.78 / $2,692.50	Professional		$345.57	$473.78	$2,692.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.14 / $483.80 / $639.29	Professional		$418.14	$483.80	$639.29
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $235.72 / $604.91	Professional		$145.13	$235.72	$604.91