Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $261.12 / $519.75	Facility		$109.03	$261.12	$519.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $142.65 / $157.40	Professional		$109.03	$142.65	$157.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $194.33 / $499.52	Facility		$118.46	$194.33	$499.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $80.97 / $320.17	Professional		$65.58	$80.97	$320.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $237.74 / $352.38	Facility		$163.96	$237.74	$352.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $360.71 / $505.75	Facility		$244.94	$360.71	$505.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $923.32 / $923.32	Professional		$106.58	$923.32	$923.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $292.95 / $1,278.26	Professional		$147.56	$292.95	$1,278.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $219.71 / $303.33	Professional		$163.96	$219.71	$303.33
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $113.36 / $299.55	Professional		$68.86	$113.36	$299.55