Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $237.90 / $417.85	Professional		$142.81	$237.90	$417.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $297.04 / $523.19	Professional		$174.63	$297.04	$523.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $133.59 / $133.59	Professional		$133.59	$133.59	$133.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $281.94 / $544.55	Professional		$168.29	$281.94	$544.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $258.05 / $436.10	Professional		$164.36	$258.05	$436.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $430.30 / $713.20	Professional		$5.00	$430.30	$713.20
United Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $304.88 / $540.95	Professional		$211.50	$304.88	$540.95