Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.88 / $109.88 / $261.01	Facility		$109.88	$109.88	$261.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $138.79 / $180.87	Professional		$104.10	$138.79	$180.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.38 / $323.93 / $849.16	Facility		$231.38	$323.93	$849.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $192.39 / $369.39	Professional		$123.35	$192.39	$369.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.67 / $243.37 / $428.05	Facility		$196.67	$243.37	$428.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $196.67 / $196.67	Professional		$196.67	$196.67	$196.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $162.66 / $297.75	Professional		$121.35	$162.66	$297.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $231.38 / $349.28	Professional		$175.85	$231.38	$349.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $289.23 / $295.01	Professional		$286.07	$289.23	$295.01
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $115.43 / $190.44	Professional		$76.95	$115.43	$190.44