Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.60 / $586.44 / $1,032.79	Facility		$207.60	$586.44	$1,032.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $254.12 / $312.77	Professional		$162.90	$254.12	$312.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.61 / $353.80 / $1,127.27	Facility		$146.61	$353.80	$1,127.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $130.32 / $293.22	Professional		$97.74	$130.32	$293.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $325.80 / $521.28	Facility		$211.77	$325.80	$521.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $211.77 / $325.80	Professional		$211.77	$211.77	$325.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $512.48 / $716.76	Facility		$172.67	$512.48	$716.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $396.89 / $496.11	Professional		$80.45	$396.89	$496.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $374.67 / $490.85	Professional		$203.35	$374.67	$490.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $649.54 / $649.54 / $649.54	Facility		$649.54	$649.54	$649.54
United Facility/Professional Facility Modifier Low / Median / High Price $293.22 / $293.22 / $293.22	Facility		$293.22	$293.22	$293.22
United Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $136.84 / $325.80	Professional		$72.90	$136.84	$325.80