Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $142.19 / $3,335.00	Facility		$141.58	$142.19	$3,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $141.58 / $165.00	Professional		$105.02	$141.58	$165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.04 / $414.12 / $445.70	Facility		$227.04	$414.12	$445.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $150.26 / $262.66	Professional		$117.32	$150.26	$262.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $97.00 / $162.78	Facility		$64.67	$97.00	$162.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.00 / $133.00	Facility		$106.00	$106.00	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $146.78 / $1,639.00	Professional		$133.44	$146.78	$1,639.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $905.03 / $1,051.96	Professional		$282.39	$905.03	$1,051.96
United Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $214.57 / $365.24	Professional		$143.44	$214.57	$365.24