Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.16 / $168.16 / $399.45	Facility		$168.16	$168.16	$399.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $218.31 / $399.98	Professional		$165.56	$218.31	$399.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.10 / $495.74 / $1,299.55	Facility		$354.10	$495.74	$1,299.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $294.42 / $565.29	Professional		$191.34	$294.42	$565.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $300.99 / $655.09	Facility		$292.20	$300.99	$655.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $300.99 / $300.99	Professional		$300.99	$300.99	$300.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $227.05 / $332.02	Professional		$155.47	$227.05	$332.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.12 / $354.10 / $509.00	Professional		$269.12	$354.10	$509.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $437.78 / $451.48 / $668.18	Professional		$437.78	$451.48	$668.18
United Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $176.65 / $294.42	Professional		$117.77	$176.65	$294.42