Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $321.01 / $837.96	Facility		$175.79	$321.01	$837.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $235.95 / $400.85	Professional		$175.79	$235.95	$400.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.53 / $287.05 / $914.62	Facility		$175.53	$287.05	$914.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $105.74 / $400.79	Professional		$105.74	$105.74	$400.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $383.29 / $568.14	Facility		$264.33	$383.29	$568.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $429.55 / $733.54	Facility		$165.36	$429.55	$733.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $240.00 / $682.00	Professional		$120.46	$240.00	$682.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $398.25 / $2,061.53	Professional		$264.33	$398.25	$2,061.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $330.43 / $489.03	Professional		$264.33	$330.43	$489.03
United Facility/Professional Facility Modifier Low / Median / High Price $237.91 / $237.91 / $237.91	Facility		$237.91	$237.91	$237.91
United Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $264.33 / $621.20	Professional		$158.60	$264.33	$621.20