Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.89 / $304.08 / $533.79	Facility		$174.89	$304.08	$533.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $228.80 / $293.82	Professional		$174.89	$228.80	$293.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.43 / $335.99 / $909.95	Facility		$231.43	$335.99	$909.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $262.99 / $421.15	Professional		$105.20	$262.99	$421.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $368.19 / $565.42	Facility		$262.99	$368.19	$565.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $315.58 / $341.89	Professional		$262.99	$315.58	$341.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.19 / $427.35 / $810.85	Facility		$262.19	$427.35	$810.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $233.87 / $786.56	Professional		$124.87	$233.87	$786.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $360.75 / $2,050.67	Professional		$262.99	$360.75	$2,050.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $433.93 / $521.25 / $657.48	Facility		$433.93	$521.25	$657.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $368.19 / $486.53	Professional		$318.22	$368.19	$486.53
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $460.36	Professional		$110.46	$157.79	$460.36