Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.08 / $110.08 / $261.48	Facility		$110.08	$110.08	$261.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $139.05 / $199.84	Professional		$110.08	$139.05	$199.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.80 / $324.52 / $850.71	Facility		$231.80	$324.52	$850.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $192.74 / $370.06	Professional		$123.58	$192.74	$370.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.03 / $231.80 / $454.33	Facility		$197.03	$231.80	$454.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.03 / $197.03 / $197.03	Professional		$197.03	$197.03	$197.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $310.58	Professional		$105.73	$105.73	$310.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $231.80 / $350.37	Professional		$176.17	$231.80	$350.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.58 / $289.75 / $295.55	Professional		$286.58	$289.75	$295.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $115.64 / $190.79	Professional		$77.09	$115.64	$190.79