Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $311.83 / $548.95	Facility		$115.16	$311.83	$548.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $161.05 / $420.13	Professional		$115.16	$161.05	$420.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $221.24 / $599.16	Facility		$124.99	$221.24	$599.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $373.87	Professional		$98.11	$98.11	$373.87
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 $162.11 / $281.39 / $533.96	Facility		$162.11	$281.39	$533.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $293.72 / $496.88	Professional		$86.51	$293.72	$496.88
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 / $237.55 / $460.62	Professional		$103.90	$237.55	$460.62