Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $225.51 / $554.15	Facility		$116.25	$225.51	$554.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $131.11 / $177.21	Professional		$47.82	$131.11	$177.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $189.83 / $604.84	Facility		$116.07	$189.83	$604.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $157.32 / $301.20	Professional		$52.44	$157.32	$301.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $244.73 / $375.84	Facility		$174.81	$244.73	$375.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $227.25	Professional		$174.81	$209.77	$227.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $308.10 / $539.17	Facility		$174.15	$308.10	$539.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $150.74 / $522.44	Professional		$80.48	$150.74	$522.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $239.61 / $1,362.53	Professional		$174.81	$239.61	$1,362.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $244.73 / $323.39	Professional		$211.52	$244.73	$323.39
United Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $157.33 / $157.33	Facility		$157.33	$157.33	$157.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $306.00	Professional		$73.42	$104.89	$306.00