Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.05 / $143.05 / $339.81	Facility		$143.05	$143.05	$339.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $180.69 / $239.30	Professional		$143.05	$180.69	$239.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.22 / $421.71 / $1,105.48	Facility		$301.22	$421.71	$1,105.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $250.46 / $480.88	Professional		$160.59	$250.46	$480.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $289.85 / $557.26	Facility		$256.04	$289.85	$557.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $256.04 / $256.04	Professional		$256.04	$256.04	$256.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $349.13	Professional		$137.40	$188.22	$349.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $301.22 / $454.72	Professional		$228.93	$301.22	$454.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.41 / $376.52 / $384.06	Professional		$372.41	$376.52	$384.06
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $150.28 / $247.93	Professional		$100.18	$150.28	$247.93