Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $153.66 / $365.00	Facility		$153.66	$153.66	$365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $194.10 / $243.66	Professional		$153.66	$194.10	$243.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $453.00 / $1,187.50	Facility		$323.57	$453.00	$1,187.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $269.04 / $516.55	Professional		$172.50	$269.04	$516.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $348.47 / $634.20	Facility		$275.02	$348.47	$634.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $275.02 / $275.02	Professional		$275.02	$275.02	$275.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $259.43 / $440.86	Professional		$195.70	$259.43	$440.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $323.57 / $488.78	Professional		$245.91	$323.57	$488.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.03 / $404.46 / $412.55	Professional		$400.03	$404.46	$412.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $161.41 / $360.12	Professional		$109.42	$161.41	$360.12