Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $324.19 / $1,859.20	Facility		$137.06	$324.19	$1,859.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $133.04 / $286.55	Professional		$96.17	$133.04	$286.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $171.33 / $500.35	Facility		$104.37	$171.33	$500.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $284.88	Professional		$70.62	$70.62	$284.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $209.68 / $310.80	Facility		$144.61	$209.68	$310.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $235.00 / $401.56	Facility		$116.57	$235.00	$401.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $220.87 / $448.29	Professional		$72.08	$220.87	$448.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $217.87 / $1,125.97	Professional		$144.61	$217.87	$1,125.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $222.70 / $267.52	Professional		$144.61	$222.70	$267.52
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $174.14 / $382.16	Professional		$86.77	$174.14	$382.16