Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.58 / $123.58 / $293.57	Facility		$123.58	$123.58	$293.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $160.44 / $206.74	Professional		$118.77	$160.44	$206.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.23 / $364.32 / $955.04	Facility		$260.23	$364.32	$955.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $216.38 / $415.45	Professional		$138.74	$216.38	$415.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $287.89 / $481.43	Facility		$221.20	$287.89	$481.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $221.20 / $221.20	Professional		$221.20	$221.20	$221.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.77 / $260.23 / $386.63	Professional		$197.77	$260.23	$386.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.73 / $325.29 / $331.79	Professional		$321.73	$325.29	$331.79
United Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $129.83 / $214.20	Professional		$86.55	$129.83	$214.20