Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $527.40 / $718.62	Facility		$177.56	$527.40	$718.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $394.10	Professional		$177.56	$177.56	$394.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $206.95 / $651.61	Facility		$177.55	$206.95	$651.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $158.87 / $158.87	Professional		$158.87	$158.87	$158.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $348.02	Facility		$177.56	$177.56	$348.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $244.00 / $549.00	Professional		$131.10	$244.00	$549.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $374.34 / $383.40	Facility		$116.47	$374.34	$383.40
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $186.90 / $215.83	Professional		$155.75	$186.90	$215.83