Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $236.10 / $864.30	Facility		$138.00	$236.10	$864.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $195.83 / $242.49	Professional		$132.00	$195.83	$242.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.33 / $223.92 / $240.15	Facility		$190.33	$223.92	$240.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.32 / $186.66 / $186.66	Professional		$149.32	$186.66	$186.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $201.59 / $395.12	Facility		$195.83	$201.59	$395.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $85.32 / $110.96	Professional		$2.13	$85.32	$110.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $585.70 / $585.70 / $1,338.81	Facility		$585.70	$585.70	$1,338.81
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $230.39 / $235.96	Professional		$192.12	$230.39	$235.96