Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.87 / $318.11 / $561.88	Facility		$117.87	$318.11	$561.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $169.30 / $394.80	Professional		$117.87	$169.30	$394.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.93 / $226.46 / $613.29	Facility		$127.93	$226.46	$613.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $159.52 / $391.72	Professional		$65.64	$159.52	$391.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $257.01 / $380.96	Facility		$177.25	$257.01	$380.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $288.02 / $546.49	Facility		$158.04	$288.02	$546.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $250.52 / $751.15	Professional		$88.36	$250.52	$751.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $243.31 / $1,381.59	Professional		$177.25	$243.31	$1,381.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.47 / $248.15 / $327.91	Professional		$214.47	$248.15	$327.91
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $120.91 / $322.08	Professional		$74.45	$120.91	$322.08