Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $166.45 / $538.58	Facility		$112.98	$166.45	$538.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $147.81 / $350.92	Professional		$97.22	$147.81	$350.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.65 / $184.50 / $587.85	Facility		$110.65	$184.50	$587.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $127.42 / $256.55	Professional		$50.97	$127.42	$256.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $237.86 / $365.29	Facility		$169.90	$237.86	$365.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $203.88 / $220.87	Professional		$169.90	$203.88	$220.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $267.25 / $471.15	Facility		$84.33	$267.25	$471.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $194.47 / $657.97	Professional		$65.02	$194.47	$657.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $232.61 / $1,324.50	Professional		$169.90	$232.61	$1,324.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $237.86 / $314.31	Professional		$205.58	$237.86	$314.31
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $78.97 / $297.41	Professional		$64.52	$78.97	$297.41