Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $117.53 / $1,281.28	Facility		$117.53	$117.53	$1,281.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $117.53 / $117.53	Professional		$113.28	$117.53	$117.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.91 / $157.77 / $355.66	Facility		$96.91	$157.77	$355.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $134.52 / $134.52	Professional		$118.00	$134.52	$134.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $123.90 / $242.84	Facility		$120.36	$123.90	$242.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $202.00 / $334.00	Professional		$118.58	$202.00	$334.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $3,850.00	Facility		$2,363.12	$2,363.12	$3,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $141.60	Professional		$118.00	$118.00	$141.60