Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $190.10 / $451.57	Facility		$190.10	$190.10	$451.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $240.13 / $360.20	Professional		$180.10	$240.13	$360.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $560.42 / $1,469.14	Facility		$400.31	$560.42	$1,469.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $332.85 / $639.07	Professional		$213.42	$332.85	$639.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.26 / $368.71 / $740.57	Facility		$340.26	$368.71	$740.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $340.26 / $340.26	Professional		$340.26	$340.26	$340.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $534.95	Professional		$184.40	$184.40	$534.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.24 / $400.31 / $604.09	Professional		$304.24	$400.31	$604.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.92 / $500.39 / $510.39	Professional		$494.92	$500.39	$510.39
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $199.71 / $329.49	Professional		$135.24	$199.71	$329.49