Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $269.93 / $476.55	Facility		$99.97	$269.93	$476.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $139.81 / $167.95	Professional		$99.97	$139.81	$167.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.90 / $166.11 / $520.14	Facility		$97.90	$166.11	$520.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $60.13 / $294.95	Professional		$45.09	$60.13	$294.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $217.98 / $323.10	Facility		$150.33	$217.98	$323.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.87 / $243.05 / $417.53	Facility		$106.87	$243.05	$417.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $229.68 / $845.38	Professional		$68.45	$229.68	$845.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $195.43 / $1,172.20	Professional		$135.30	$195.43	$1,172.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $210.46 / $278.11	Professional		$181.90	$210.46	$278.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $273.16	Professional		$63.14	$90.20	$273.16