Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $247.06 / $70,232.84	Facility		$197.65	$247.06	$70,232.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.83 / $235.20	Professional		$197.65	$197.83	$235.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $322.07 / $726.04	Facility		$197.83	$322.07	$726.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $201.78	Professional		$197.83	$197.83	$201.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $387.75	Facility		$197.83	$197.83	$387.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $197.83	Facility		$186.63	$186.63	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $231.33	Professional		$197.83	$197.83	$231.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $252.02 / $505.00	Professional		$193.86	$252.02	$505.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $336.31 / $407.51	Professional		$187.94	$336.31	$407.51
United Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $378.46 / $378.46	Facility		$194.08	$378.46	$378.46
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $247.29	Professional		$197.83	$209.70	$247.29