Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $276.45	Facility		$116.38	$116.38	$276.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $116.38 / $163.34	Professional		$93.23	$116.38	$163.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $343.10 / $899.41	Facility		$245.07	$343.10	$899.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $203.77 / $391.24	Professional		$111.78	$203.77	$391.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.32 / $208.31 / $453.38	Facility		$156.32	$208.31	$453.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $208.31 / $208.31	Professional		$208.31	$208.31	$208.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $116.42 / $213.38	Professional		$92.15	$116.42	$213.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $245.07 / $340.44	Professional		$186.25	$245.07	$340.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $416.62 / $462.44	Professional		$159.30	$416.62	$462.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $115.09 / $201.71	Professional		$81.51	$115.09	$201.71