Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $332.62 / $587.08	Facility		$123.16	$332.62	$587.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $189.83 / $400.00	Professional		$70.47	$189.83	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $204.65 / $640.79	Facility		$120.61	$204.65	$640.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $74.08 / $363.37	Professional		$55.56	$74.08	$363.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $259.27 / $398.18	Facility		$185.20	$259.27	$398.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $240.76	Professional		$185.20	$222.24	$240.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $291.32 / $514.40	Facility		$118.83	$291.32	$514.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $282.70 / $1,042.09	Professional		$84.47	$282.70	$1,042.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $240.76 / $1,444.15	Professional		$166.68	$240.76	$1,444.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $259.27 / $342.62	Professional		$224.09	$259.27	$342.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $324.19	Professional		$77.78	$111.12	$324.19