Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.25 / $107.25 / $254.76	Facility		$107.25	$107.25	$254.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $131.04 / $156.91	Professional		$107.25	$131.04	$156.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.84 / $316.18 / $828.83	Facility		$225.84	$316.18	$828.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $187.78 / $360.54	Professional		$120.40	$187.78	$360.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.96 / $225.84 / $442.65	Facility		$191.96	$225.84	$442.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $191.96 / $191.96	Professional		$191.96	$191.96	$191.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $301.97	Professional		$103.02	$103.02	$301.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $225.84 / $340.49	Professional		$171.64	$225.84	$340.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $282.30 / $287.94	Professional		$279.20	$282.30	$287.94
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $112.67 / $185.89	Professional		$75.11	$112.67	$185.89