Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.60 / $348.24 / $702.28	Facility		$146.60	$348.24	$702.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $182.18 / $255.21	Professional		$146.60	$182.18	$255.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $432.21 / $1,133.00	Facility		$308.72	$432.21	$1,133.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $256.69 / $492.84	Professional		$164.59	$256.69	$492.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $273.33 / $571.13	Facility		$257.83	$273.33	$571.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.41 / $262.41 / $262.41	Professional		$262.41	$262.41	$262.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $192.00 / $351.75	Professional		$143.22	$192.00	$351.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $308.72 / $458.02	Professional		$234.63	$308.72	$458.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.67 / $385.90 / $393.61	Professional		$381.67	$385.90	$393.61
United Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $154.01 / $303.33	Professional		$102.68	$154.01	$303.33