Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.29 / $682.50 / $1,331.72	Facility		$215.29	$682.50	$1,331.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $252.53 / $310.80	Professional		$161.88	$252.53	$310.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.26 / $351.57 / $1,120.18	Facility		$161.26	$351.57	$1,120.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $129.50 / $313.56	Professional		$97.12	$129.50	$313.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $323.75 / $518.00	Facility		$210.44	$323.75	$518.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $210.44 / $323.75	Professional		$210.44	$210.44	$323.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $509.26 / $712.25	Facility		$171.59	$509.26	$712.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $394.42 / $493.03	Professional		$88.58	$394.42	$493.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $372.31 / $487.76	Professional		$223.68	$372.31	$487.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,210.72 / $1,454.34 / $1,881.59	Facility		$1,210.72	$1,454.34	$1,881.59
United Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $135.97 / $323.75	Professional		$80.80	$135.97	$323.75