Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $384.37	Facility		$161.82	$161.82	$384.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $182.54 / $270.68	Professional		$153.30	$182.54	$270.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.75 / $477.05 / $1,250.55	Facility		$340.75	$477.05	$1,250.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $283.32 / $543.97	Professional		$179.24	$283.32	$543.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $292.20 / $630.39	Facility		$258.33	$292.20	$630.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $289.64 / $289.64	Professional		$289.64	$289.64	$289.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $398.63	Professional		$138.63	$189.91	$398.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.97 / $340.75 / $473.00	Professional		$258.97	$340.75	$473.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $375.54 / $643.00	Professional		$316.49	$375.54	$643.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $169.99 / $343.76	Professional		$113.33	$169.99	$343.76