Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $160.78 / $466.22	Facility		$116.53	$160.78	$466.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $116.53 / $173.09	Professional		$100.76	$116.53	$173.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $268.33 / $316.86	Facility		$146.51	$268.33	$316.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $209.46 / $369.55	Professional		$133.71	$209.46	$369.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $87.73 / $137.36	Facility		$45.24	$87.73	$137.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $33.27 / $33.27	Professional		$33.27	$33.27	$33.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $148.80 / $316.00	Facility		$99.99	$148.80	$316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $208.08 / $346.01	Professional		$129.57	$208.08	$346.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $157.61 / $375.03	Professional		$143.28	$157.61	$375.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $232.40 / $232.40	Professional		$186.00	$232.40	$232.40
United Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $146.40 / $246.86	Professional		$101.80	$146.40	$246.86