Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $535.29 / $955.28	Facility		$200.40	$535.29	$955.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $262.17 / $336.67	Professional		$195.88	$262.17	$336.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $327.25 / $1,042.67	Facility		$200.10	$327.25	$1,042.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $270.02 / $509.06	Professional		$90.40	$270.02	$509.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $436.96 / $647.67	Facility		$301.35	$436.96	$647.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.56 / $530.82 / $928.94	Facility		$300.56	$530.82	$928.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $259.30 / $901.69	Professional		$138.44	$259.30	$901.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $413.19 / $2,349.79	Professional		$301.35	$413.19	$2,349.79
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 / $632.84	Professional		$126.57	$180.81	$632.84