Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $188.12 / $502.48	Facility		$188.12	$188.12	$502.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $240.45 / $271.56	Professional		$188.12	$240.45	$271.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $307.18 / $577.67	Facility		$212.16	$307.18	$577.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $288.83 / $453.00	Professional		$216.63	$288.83	$453.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $410.18 / $607.99	Facility		$282.88	$410.18	$607.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $622.34 / $872.52	Facility		$367.74	$622.34	$872.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.44 / $1,591.44 / $1,591.44	Professional		$1,591.44	$1,591.44	$1,591.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $311.17 / $396.03	Professional		$254.59	$311.17	$396.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $379.06 / $523.33	Professional		$282.88	$379.06	$523.33
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $582.55	Professional		$118.81	$169.73	$582.55