Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $577.14 / $871.21	Facility		$182.76	$577.14	$871.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $248.04 / $412.24	Professional		$90.09	$248.04	$412.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $303.69 / $950.91	Facility		$178.98	$303.69	$950.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $109.93 / $539.22	Professional		$69.25	$109.93	$539.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $384.76 / $590.88	Facility		$274.83	$384.76	$590.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $329.80 / $357.28	Professional		$274.83	$329.80	$357.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.65 / $446.60 / $762.68	Facility		$196.65	$446.60	$762.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $419.91 / $1,546.60	Professional		$125.39	$419.91	$1,546.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $357.28 / $2,143.14	Professional		$247.35	$357.28	$2,143.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $384.76 / $508.44	Professional		$332.54	$384.76	$508.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $481.09	Professional		$115.43	$164.90	$481.09