Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.62 / $336.78 / $336.78	Facility		$192.62	$336.78	$336.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $203.42 / $414.41	Professional		$183.44	$203.42	$414.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $283.13 / $481.73	Professional		$217.11	$283.13	$481.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $280.64 / $280.64	Facility		$280.64	$280.64	$280.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $211.21 / $211.21	Professional		$211.21	$211.21	$211.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $316.01 / $527.21	Professional		$220.88	$316.01	$527.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $302.50 / $1,278.00	Professional		$222.45	$302.50	$1,278.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $478.30 / $579.40	Professional		$292.30	$478.30	$579.40
United Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $279.30 / $455.12	Professional		$212.90	$279.30	$455.12