Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $267.74 / $548.95	Facility		$115.16	$267.74	$548.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $161.05 / $343.20	Professional		$115.16	$161.05	$343.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $205.25 / $599.16	Facility		$124.99	$205.25	$599.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $85.52 / $329.15	Professional		$85.52	$85.52	$329.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $251.10 / $372.19	Facility		$173.17	$251.10	$372.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.34 / $281.39 / $480.56	Facility		$139.34	$281.39	$480.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $169.00 / $451.97	Professional		$86.51	$169.00	$451.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $260.89 / $1,348.94	Professional		$173.17	$260.89	$1,348.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $216.46 / $320.36	Professional		$173.17	$216.46	$320.36
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $204.20 / $456.44	Professional		$103.90	$204.20	$456.44