Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $204.01 / $7,150.30	Facility		$163.21	$204.01	$7,150.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $164.25 / $197.10	Professional		$163.21	$164.25	$197.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $262.80 / $602.79	Facility		$164.25	$262.80	$602.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $167.53	Professional		$164.25	$164.25	$167.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $321.93	Facility		$164.25	$164.25	$321.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $164.25	Facility		$154.96	$154.96	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $193.69	Professional		$164.25	$164.25	$193.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $152.51 / $463.00	Professional		$111.29	$152.51	$463.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $278.26 / $338.34	Professional		$156.04	$278.26	$338.34
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $205.97	Professional		$164.25	$164.25	$205.97