Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $350.18 / $2,056.52	Facility		$126.42	$350.18	$2,056.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $494.41 / $1,025.23	Professional		$126.42	$494.41	$1,025.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $1,106.58 / $2,337.67	Professional		$131.00	$1,106.58	$2,337.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.09 / $552.09 / $552.09	Facility		$552.09	$552.09	$552.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $122.06 / $122.06	Professional		$122.06	$122.06	$122.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $216.13 / $216.13	Facility		$216.13	$216.13	$216.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $445.98 / $1,564.05	Professional		$139.33	$445.98	$1,564.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $707.48 / $1,383.24	Professional		$144.60	$707.48	$1,383.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $652.04 / $1,541.57	Professional		$138.02	$652.04	$1,541.57
United Facility/Professional Professional Modifier Low / Median / High Price $596.85 / $909.20 / $1,832.52	Professional		$596.85	$909.20	$1,832.52