Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $228.89 / $441.75	Facility		$157.91	$228.89	$441.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $219.82 / $469.40	Professional		$211.75	$219.82	$469.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.51 / $251.18 / $269.39	Facility		$213.51	$251.18	$269.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $219.82 / $219.82	Professional		$219.82	$219.82	$219.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.43 / $226.28 / $441.27	Facility		$138.43	$226.28	$441.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $379.00 / $718.00	Professional		$201.85	$379.00	$718.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $433.70	Facility		$39.04	$39.04	$433.70
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $258.61 / $269.39	Professional		$215.51	$258.61	$269.39