Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.93 / $129.93 / $308.64	Facility		$129.93	$129.93	$308.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $164.12 / $217.97	Professional		$129.93	$164.12	$217.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $383.04 / $1,004.11	Facility		$273.60	$383.04	$1,004.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $227.49 / $436.78	Professional		$145.86	$227.49	$436.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $257.77 / $506.16	Facility		$232.56	$257.77	$506.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $232.56 / $232.56	Professional		$232.56	$232.56	$232.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $365.60	Professional		$124.80	$124.80	$365.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $273.60 / $412.99	Professional		$207.94	$273.60	$412.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $342.00 / $348.84	Professional		$338.26	$342.00	$348.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $136.49 / $225.19	Professional		$91.00	$136.49	$225.19