Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $143.08 / $339.86	Facility		$143.08	$143.08	$339.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $180.73 / $257.17	Professional		$143.08	$180.73	$257.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $421.78 / $1,105.66	Facility		$301.27	$421.78	$1,105.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.62 / $250.51 / $480.98	Professional		$160.62	$250.51	$480.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $287.20 / $557.35	Facility		$256.08	$287.20	$557.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $213.88 / $391.88	Professional		$159.56	$213.88	$391.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $301.27 / $454.72	Professional		$228.97	$301.27	$454.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $522.41 / $568.50	Professional		$512.16	$522.41	$568.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $150.31 / $247.97	Professional		$100.20	$150.31	$247.97