Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $114.14 / $271.12	Facility		$114.14	$114.14	$271.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $144.16 / $254.76	Professional		$113.40	$144.16	$254.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $336.48 / $882.05	Facility		$240.34	$336.48	$882.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $199.84 / $383.69	Professional		$108.34	$199.84	$383.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.31 / $288.41 / $384.54	Facility		$198.31	$288.41	$384.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $336.48	Professional		$204.29	$240.34	$336.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $134.37 / $253.73	Professional		$111.36	$134.37	$253.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $240.34 / $366.85	Professional		$182.66	$240.34	$366.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.58 / $416.75 / $453.53	Professional		$408.58	$416.75	$453.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $119.90 / $199.84	Professional		$79.94	$119.90	$199.84