Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $213.16 / $380.40	Facility		$79.80	$213.16	$380.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $104.40 / $134.06	Professional		$79.80	$104.40	$134.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $132.60 / $415.20	Facility		$78.15	$132.60	$415.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $48.00 / $235.44	Professional		$30.24	$48.00	$235.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $174.00 / $257.89	Facility		$120.00	$174.00	$257.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $188.76 / $332.92	Facility		$62.17	$188.76	$332.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $183.41 / $675.90	Professional		$54.72	$183.41	$675.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $156.00 / $935.56	Professional		$108.00	$156.00	$935.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $168.00 / $222.00	Professional		$145.19	$168.00	$222.00
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $210.06	Professional		$50.40	$72.00	$210.06