Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $462.74 / $825.79	Facility		$173.23	$462.74	$825.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $208.40 / $260.50	Professional		$156.30	$208.40	$260.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.68 / $286.55 / $901.33	Facility		$158.68	$286.55	$901.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $104.20 / $323.02	Professional		$65.64	$104.20	$323.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.23 / $364.70 / $510.58	Facility		$235.23	$364.70	$510.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $573.10 / $573.10	Facility		$138.07	$573.10	$573.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $350.05 / $778.82	Professional		$129.80	$350.05	$778.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $338.65 / $2,031.62	Professional		$260.50	$338.65	$2,031.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $364.70 / $481.93	Professional		$315.20	$364.70	$481.93
United Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $234.45 / $260.50	Facility		$234.45	$234.45	$260.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $377.73	Professional		$109.41	$156.30	$377.73