Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $192.94 / $506.10	Facility		$99.97	$192.94	$506.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $154.09 / $318.70	Professional		$99.97	$154.09	$318.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $192.06 / $520.14	Facility		$132.29	$192.06	$520.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $150.33 / $248.04	Professional		$60.13	$150.33	$248.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $217.98 / $323.10	Facility		$150.33	$217.98	$323.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $244.28 / $463.93	Facility		$149.96	$244.28	$463.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $133.68 / $449.88	Professional		$71.38	$133.68	$449.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $206.17 / $1,172.20	Professional		$150.33	$206.17	$1,172.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $678.12 / $814.55 / $1,011.34	Facility		$678.12	$814.55	$1,011.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $210.46 / $278.11	Professional		$181.90	$210.46	$278.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $263.14	Professional		$63.14	$90.20	$263.14