Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $409.63 / $529.90	Facility		$91.11	$409.63	$529.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $201.30 / $333.94	Professional		$82.20	$201.30	$333.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.22 / $151.38 / $474.02	Facility		$89.22	$151.38	$474.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $54.80 / $268.79	Professional		$34.52	$54.80	$268.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $191.80 / $294.55	Facility		$137.00	$191.80	$294.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $178.10	Professional		$137.00	$164.40	$178.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $215.50 / $379.92	Facility		$91.21	$215.50	$379.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $209.30 / $771.38	Professional		$62.34	$209.30	$771.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $178.10 / $1,068.88	Professional		$123.30	$178.10	$1,068.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $297.27 / $297.27 / $297.27	Facility		$297.27	$297.27	$297.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $191.80 / $253.45	Professional		$165.77	$191.80	$253.45
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $239.82	Professional		$57.54	$82.20	$239.82