Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $416.87	Facility		$194.98	$204.17	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $1,071.52	Facility		$194.98	$316.23	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $446.68	Professional		$194.98	$234.42	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $194.98 / $354.81	Professional		$30.20	$194.98	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $371.54 / $512.86	Facility		$190.55	$371.54	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $239.88	Professional		$190.55	$199.53	$239.88