Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.87 / $1,473.87 / $5,302.36	Facility		$1,473.87	$1,473.87	$5,302.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $120.30 / $268.23	Professional		$100.67	$120.30	$268.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $99.01 / $268.57	Professional		$66.00	$99.01	$268.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $168.91 / $279.58	Facility		$163.09	$168.91	$279.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $133.00 / $348.29	Professional		$59.00	$133.00	$348.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $163.09 / $908.38	Professional		$104.84	$163.09	$908.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $145.61 / $207.93	Professional		$116.49	$145.61	$207.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $146.49 / $365.72	Professional		$69.89	$146.49	$365.72