Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $164.06 / $389.72	Facility		$164.06	$164.06	$389.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $184.78 / $260.13	Professional		$155.41	$184.78	$260.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.47 / $483.66 / $1,267.86	Facility		$345.47	$483.66	$1,267.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $278.29 / $593.71	Professional		$181.74	$278.29	$593.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.06 / $293.64 / $639.12	Facility		$285.06	$293.64	$639.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $293.64 / $293.64	Professional		$293.64	$293.64	$293.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $364.75	Professional		$140.34	$192.25	$364.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $345.47 / $480.24	Professional		$262.56	$345.47	$480.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $587.29 / $651.90	Professional		$224.56	$587.29	$651.90
United Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $172.35 / $298.57	Professional		$114.90	$172.35	$298.57