Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $299.36 / $550.50	Facility		$115.48	$299.36	$550.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $166.71 / $399.42	Professional		$115.48	$166.71	$399.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.34 / $221.87 / $600.86	Facility		$125.34	$221.87	$600.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $94.23 / $359.09	Professional		$94.23	$94.23	$359.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $251.81 / $373.25	Facility		$173.66	$251.81	$373.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $282.20 / $519.62	Facility		$155.60	$282.20	$519.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $245.70 / $478.17	Professional		$86.59	$245.70	$478.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $261.64 / $1,354.41	Professional		$173.66	$261.64	$1,354.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $217.08 / $321.27	Professional		$173.66	$217.08	$321.27
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $228.16 / $459.61	Professional		$104.20	$228.16	$459.61