Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $221.74 / $567.11	Facility		$82.25	$221.74	$567.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $132.29 / $661.45	Professional		$82.25	$132.29	$661.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $158.01 / $427.93	Facility		$89.27	$158.01	$427.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $111.75 / $273.33	Professional		$45.81	$111.75	$273.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $179.34 / $265.83	Facility		$123.68	$179.34	$265.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $200.98 / $381.40	Facility		$110.28	$200.98	$381.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $174.71 / $524.80	Professional		$61.60	$174.71	$524.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $169.39 / $962.74	Professional		$123.68	$169.39	$962.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $173.15 / $228.81	Professional		$149.65	$173.15	$228.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $94.49 / $216.50	Professional		$51.95	$94.49	$216.50