Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $238.46 / $10,371.79	Facility		$173.64	$238.46	$10,371.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $238.46 / $250.38	Professional		$173.64	$238.46	$250.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $381.54 / $875.15	Facility		$238.46	$381.54	$875.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $243.22	Professional		$238.46	$238.46	$243.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $467.38	Facility		$238.46	$238.46	$467.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $224.96 / $238.46	Facility		$224.96	$224.96	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $303.69	Professional		$238.46	$238.46	$303.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $350.05 / $2,690.14	Professional		$170.73	$350.05	$2,690.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $341.00 / $507.75	Professional		$232.62	$341.00	$507.75
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $248.00 / $317.41	Professional		$238.46	$248.00	$317.41