Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $323.42 / $597.77	Facility		$125.40	$323.42	$597.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $181.03 / $421.70	Professional		$125.40	$181.03	$421.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.10 / $240.92 / $652.45	Facility		$136.10	$240.92	$652.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $101.85 / $390.67	Professional		$101.85	$101.85	$390.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $273.43 / $405.29	Facility		$188.57	$273.43	$405.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.36 / $306.43 / $561.29	Facility		$168.36	$306.43	$561.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $280.35 / $516.67	Professional		$94.01	$280.35	$516.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $284.10 / $1,468.67	Professional		$188.57	$284.10	$1,468.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $235.71 / $348.85	Professional		$188.57	$235.71	$348.85
United Facility/Professional Facility Modifier Low / Median / High Price $197.16 / $197.16 / $282.86	Facility		$197.16	$197.16	$282.86
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $246.61 / $499.07	Professional		$113.14	$246.61	$499.07