Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.01 / $384.01 / $691.25	Facility		$145.01	$384.01	$691.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $200.62 / $299.45	Professional		$145.00	$200.62	$299.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $252.96 / $754.49	Facility		$134.46	$252.96	$754.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $105.40 / $326.74	Professional		$101.61	$105.40	$326.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $316.19 / $468.68	Facility		$218.06	$316.19	$468.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $354.35 / $666.69	Facility		$190.30	$354.35	$666.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $267.37 / $707.12	Professional		$108.68	$267.37	$707.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $283.48 / $1,699.85	Professional		$187.53	$283.48	$1,699.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $272.58 / $403.41	Professional		$263.85	$272.58	$403.41
United Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $196.25 / $196.25	Facility		$196.25	$196.25	$196.25
United Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $130.84 / $381.71	Professional		$80.55	$130.84	$381.71