Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.74 / $158.74 / $473.94	Facility		$158.74	$158.74	$473.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $177.49 / $233.74	Professional		$141.27	$177.49	$233.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.27 / $367.19 / $962.57	Facility		$262.27	$367.19	$962.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.05 / $338.43 / $581.54	Professional		$236.05	$338.43	$581.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.25 / $262.27 / $511.82	Facility		$189.25	$262.27	$511.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $222.94 / $222.94	Professional		$222.94	$222.94	$222.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $298.13	Professional		$203.01	$203.01	$298.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $262.27 / $567.00	Professional		$179.79	$262.27	$567.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $445.88 / $498.33	Professional		$322.39	$445.88	$498.33
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $209.60 / $328.83	Professional		$139.72	$209.60	$328.83