Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.94 / $270.41 / $476.42	Facility		$99.94	$270.41	$476.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $142.47 / $383.99	Professional		$99.94	$142.47	$383.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $192.00 / $520.00	Facility		$108.47	$192.00	$520.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $85.14 / $324.47	Professional		$85.14	$85.14	$324.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $217.92 / $323.02	Facility		$150.29	$217.92	$323.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $244.23 / $463.93	Facility		$140.59	$244.23	$463.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $255.01 / $432.43	Professional		$75.08	$255.01	$432.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $226.43 / $1,172.20	Professional		$150.29	$226.43	$1,172.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $187.86 / $278.04	Professional		$150.29	$187.86	$278.04
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $206.16 / $397.76	Professional		$90.17	$206.16	$397.76