Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $213.00 / $396.63	Facility		$165.00	$213.00	$396.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $171.69 / $401.85	Professional		$122.19	$171.69	$401.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $255.47 / $461.69	Professional		$167.73	$255.47	$461.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.07 / $297.75 / $357.82	Facility		$215.07	$297.75	$357.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $232.46 / $295.99	Professional		$214.36	$232.46	$295.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $80.00 / $130.00	Facility		$60.00	$80.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $239.41 / $505.06	Professional		$173.38	$239.41	$505.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $257.19 / $478.00	Professional		$178.91	$257.19	$478.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.64 / $228.48 / $315.33	Professional		$223.64	$228.48	$315.33
United Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $228.26 / $396.60	Professional		$168.56	$228.26	$396.60