Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.34 / $137.34 / $326.23	Facility		$137.34	$137.34	$326.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $173.48 / $229.74	Professional		$137.34	$173.48	$229.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.20 / $404.88 / $1,061.35	Facility		$289.20	$404.88	$1,061.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $240.46 / $461.68	Professional		$154.18	$240.46	$461.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.82 / $327.76 / $535.02	Facility		$245.82	$327.76	$535.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.82 / $245.82 / $245.82	Professional		$245.82	$245.82	$245.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $386.65	Professional		$131.91	$180.71	$386.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $289.20 / $436.04	Professional		$219.79	$289.20	$436.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $361.50 / $368.73	Professional		$357.54	$361.50	$368.73
United Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $144.28 / $321.87	Professional		$97.80	$144.28	$321.87