Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $256.00 / $452.14	Facility		$142.63	$256.00	$452.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $142.63 / $239.62	Professional		$74.17	$142.63	$239.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $155.46 / $185.52	Facility		$86.88	$155.46	$185.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $176.85	Professional		$48.49	$57.05	$176.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $206.81 / $306.55	Facility		$142.63	$206.81	$306.55
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 $142.22 / $224.36 / $403.67	Facility		$142.22	$224.36	$403.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $125.63 / $426.66	Professional		$70.63	$125.63	$426.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $185.42 / $1,112.38	Professional		$128.37	$185.42	$1,112.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.17 / $2,706.39 / $2,932.00	Facility		$2,123.17	$2,706.39	$2,932.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $175.43 / $254.59	Professional		$138.78	$175.43	$254.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $95.09 / $249.67	Professional		$66.56	$95.09	$249.67