Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $164.06 / $389.72	Facility		$164.06	$164.06	$389.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $207.50 / $272.97	Professional		$164.06	$207.50	$272.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.48 / $483.67 / $1,267.91	Facility		$345.48	$483.67	$1,267.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $287.26 / $551.54	Professional		$184.19	$287.26	$551.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.66 / $328.60 / $639.14	Facility		$293.66	$328.60	$639.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $293.66 / $293.66	Professional		$293.66	$293.66	$293.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $444.38	Professional		$157.59	$215.87	$444.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $345.48 / $521.72	Professional		$262.56	$345.48	$521.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $427.12 / $431.85 / $440.49	Professional		$427.12	$431.85	$440.49
United Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $172.36 / $284.36	Professional		$114.90	$172.36	$284.36