Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $347.83 / $17,099.91	Facility		$236.62	$347.83	$17,099.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $281.58	Professional		$236.62	$236.62	$281.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $378.59 / $868.40	Facility		$236.62	$378.59	$868.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $241.35	Professional		$236.62	$236.62	$241.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $463.78	Facility		$236.62	$236.62	$463.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $223.22 / $236.62	Facility		$223.22	$223.22	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $279.02	Professional		$236.62	$236.62	$279.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $233.12 / $474.00	Professional		$199.55	$233.12	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.79 / $402.25 / $487.42	Professional		$224.79	$402.25	$487.42
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $295.77	Professional		$236.62	$236.62	$295.77