Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $132.49 / $314.70	Facility		$132.49	$132.49	$314.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $167.35 / $209.65	Professional		$132.49	$167.35	$209.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.97 / $390.56 / $1,023.82	Facility		$278.97	$390.56	$1,023.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $231.96 / $445.36	Professional		$152.00	$231.96	$445.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.12 / $278.97 / $546.78	Facility		$237.12	$278.97	$546.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $237.12 / $237.12	Professional		$237.12	$237.12	$237.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $323.25	Professional		$127.25	$174.32	$323.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $278.97 / $420.67	Professional		$212.02	$278.97	$420.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $348.71 / $355.69	Professional		$344.90	$348.71	$355.69
United Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $139.18 / $229.61	Professional		$92.78	$139.18	$229.61