Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.85 / $230.76 / $452.14	Facility		$94.85	$230.76	$452.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $102.34 / $195.87	Professional		$75.59	$102.34	$195.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $174.22 / $493.50	Facility		$92.72	$174.22	$493.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $95.03 / $196.38	Professional		$63.35	$95.03	$196.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $199.68 / $306.64	Facility		$142.63	$199.68	$306.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $185.42	Professional		$142.63	$171.16	$185.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $231.78 / $400.35	Facility		$114.39	$231.78	$400.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $129.54 / $426.66	Professional		$71.11	$129.54	$426.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $185.42 / $1,112.38	Professional		$128.34	$185.42	$1,112.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $178.29 / $263.87	Professional		$172.58	$178.29	$263.87
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $85.58 / $249.67	Professional		$46.36	$85.58	$249.67