Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $226.38 / $750.00	Facility		$83.45	$226.38	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $129.59 / $358.73	Professional		$83.45	$129.59	$358.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $160.33 / $434.20	Facility		$90.57	$160.33	$434.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $270.89	Professional		$70.62	$70.62	$270.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $181.96 / $269.72	Facility		$125.49	$181.96	$269.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $203.93 / $386.61	Facility		$116.57	$203.93	$386.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $211.50 / $357.59	Professional		$62.57	$211.50	$357.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $189.06 / $979.06	Professional		$125.49	$189.06	$979.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $156.86 / $232.16	Professional		$125.49	$156.86	$232.16
United Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $112.94 / $112.94	Facility		$112.94	$112.94	$112.94
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $170.98 / $332.12	Professional		$75.29	$170.98	$332.12