Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $130.91 / $310.99	Facility		$130.91	$130.91	$310.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $156.66 / $183.75	Professional		$127.58	$156.66	$183.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.68 / $385.95 / $1,011.75	Facility		$275.68	$385.95	$1,011.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $229.23 / $440.12	Professional		$149.91	$229.23	$440.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.33 / $252.56 / $510.01	Facility		$234.33	$252.56	$510.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $234.33 / $234.33	Professional		$234.33	$234.33	$234.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $188.08 / $344.63	Professional		$139.27	$188.08	$344.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $275.68 / $393.21	Professional		$209.52	$275.68	$393.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $344.60 / $351.49	Professional		$340.83	$344.60	$351.49
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $137.54 / $226.90	Professional		$91.69	$137.54	$226.90