Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $870.96	Facility		$173.78	$478.63	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $302.00	Professional		$173.78	$208.93	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $346.74	Facility		$104.71	$281.84	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $234.42	Professional		$63.10	$104.71	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $794.33	Facility		$257.04	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $831.76	Professional		$117.49	$316.23	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $2,041.74	Professional		$234.42	$302.00	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $549.54	Professional		$263.03	$323.59	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $263.03	Facility		$144.54	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $338.84	Professional		$109.65	$154.88	$338.84