Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $7,079.46	Facility		$162.18	$269.15	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $891.25	Facility		$162.18	$269.15	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $426.58	Professional		$112.20	$162.18	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $177.83 / $281.84	Professional		$30.20	$177.83	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $416.87	Facility		$151.36	$295.12	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $194.98	Professional		$154.88	$162.18	$194.98