Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $507.92 / $896.73	Facility		$188.12	$507.92	$896.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $198.02 / $316.04	Professional		$112.28	$198.02	$316.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.22 / $312.58 / $978.76	Facility		$184.22	$312.58	$978.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $113.15 / $555.01	Professional		$71.28	$113.15	$555.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $396.03 / $608.19	Facility		$282.88	$396.03	$608.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $339.46 / $367.74	Professional		$282.88	$339.46	$367.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.43 / $459.68 / $785.26	Facility		$242.43	$459.68	$785.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $432.04 / $1,591.44	Professional		$129.01	$432.04	$1,591.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $367.74 / $2,205.69	Professional		$254.59	$367.74	$2,205.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $396.03 / $523.33	Professional		$342.28	$396.03	$523.33
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $495.18	Professional		$118.81	$169.73	$495.18