Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $216.30 / $399.84	Professional		$153.18	$216.30	$399.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $284.56 / $472.43	Professional		$177.58	$284.56	$472.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $142.08 / $142.08	Professional		$142.08	$142.08	$142.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $266.02 / $470.54	Professional		$166.44	$266.02	$470.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $240.43 / $365.87	Professional		$177.74	$240.43	$365.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $404.10 / $574.00	Professional		$5.00	$404.10	$574.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $276.33 / $505.47	Professional		$197.85	$276.33	$505.47