Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $568.41 / $1,014.40	Facility		$212.80	$568.41	$1,014.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $278.39 / $357.50	Professional		$212.80	$278.39	$357.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $353.60 / $1,107.20	Facility		$208.40	$353.60	$1,107.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $128.00 / $396.80	Professional		$102.40	$128.00	$396.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $464.00 / $687.77	Facility		$320.00	$464.00	$687.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $563.66 / $986.41	Facility		$318.95	$563.66	$986.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.93 / $488.80 / $1,801.81	Professional		$145.93	$488.80	$1,801.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $416.00 / $2,493.96	Professional		$288.00	$416.00	$2,493.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $448.00 / $592.00	Professional		$387.20	$448.00	$592.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $560.16	Professional		$134.40	$192.00	$560.16