Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $234.72 / $1,386.00	Facility		$142.51	$234.72	$1,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $147.27 / $226.73	Professional		$120.01	$147.27	$226.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,268.05 / $2,354.58 / $2,831.20	Facility		$1,268.05	$2,354.58	$2,831.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $183.19 / $327.92	Professional		$99.57	$183.19	$327.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $48.43 / $100.21	Facility		$48.43	$48.43	$100.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $200.37 / $363.05	Professional		$127.47	$200.37	$363.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $164.20 / $700.00	Professional		$138.94	$164.20	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $211.09 / $341.80	Professional		$64.54	$211.09	$341.80
United Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $189.92 / $350.51	Professional		$133.69	$189.92	$350.51