Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $125.70 / $298.60	Facility		$125.70	$125.70	$298.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $158.78 / $200.77	Professional		$125.70	$158.78	$200.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $370.58 / $971.45	Facility		$264.70	$370.58	$971.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $220.09 / $422.57	Professional		$141.12	$220.09	$422.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $264.70 / $518.80	Facility		$225.00	$264.70	$518.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $334.88	Professional		$120.74	$165.40	$334.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $264.70 / $399.81	Professional		$201.17	$264.70	$399.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.26 / $330.88 / $337.49	Professional		$327.26	$330.88	$337.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $132.05 / $229.04	Professional		$89.43	$132.05	$229.04