Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.08 / $254.08 / $8,588.95	Facility		$254.08	$254.08	$8,588.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $254.08 / $269.33	Professional		$244.90	$254.08	$269.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.10 / $276.77 / $276.77	Facility		$255.10	$276.77	$276.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $275.51 / $290.81	Professional		$255.10	$275.51	$290.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $267.86 / $522.33	Facility		$260.20	$267.86	$522.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $378.00 / $586.00	Professional		$260.20	$378.00	$586.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.35 / $452.69 / $494.04	Professional		$323.35	$452.69	$494.04
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $306.12	Professional		$255.10	$255.10	$306.12