Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $200.40 / $535.29	Facility		$200.40	$200.40	$535.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $256.14 / $289.30	Professional		$200.40	$256.14	$289.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $301.35 / $386.44	Facility		$196.25	$301.35	$386.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $241.08 / $497.23	Professional		$120.54	$241.08	$497.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.89 / $590.65 / $1,084.85	Facility		$421.89	$590.65	$1,084.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $662.97 / $928.94	Facility		$391.76	$662.97	$928.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $729.27 / $1,696.62	Professional		$494.21	$729.27	$1,696.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $391.76 / $703.65	Professional		$271.22	$391.76	$703.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $421.89 / $557.50	Professional		$364.63	$421.89	$557.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $620.60	Professional		$126.57	$180.81	$620.60