Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.97 / $164.97 / $391.86	Facility		$164.97	$164.97	$391.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $185.42 / $240.06	Professional		$156.29	$185.42	$240.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.38 / $486.33 / $1,274.88	Facility		$347.38	$486.33	$1,274.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $288.83 / $554.57	Professional		$185.19	$288.83	$554.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $295.27 / $642.65	Facility		$286.64	$295.27	$642.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $295.27 / $295.27	Professional		$295.27	$295.27	$295.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $400.50	Professional		$140.82	$140.82	$400.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.01 / $347.38 / $613.16	Professional		$264.01	$347.38	$613.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $429.48 / $642.65	Professional		$194.88	$429.48	$642.65
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $173.30 / $285.91	Professional		$115.54	$173.30	$285.91