Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $261.10 / $641.61	Facility		$134.60	$261.10	$641.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $157.87 / $226.13	Professional		$134.60	$157.87	$226.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $219.79 / $700.30	Facility		$134.38	$219.79	$700.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $182.16 / $348.73	Professional		$60.72	$182.16	$348.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $293.48 / $435.02	Facility		$202.40	$293.48	$435.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $356.46 / $623.80	Facility		$201.88	$356.46	$623.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $183.69 / $605.64	Professional		$93.07	$183.69	$605.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $277.77 / $1,577.46	Professional		$202.40	$277.77	$1,577.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $283.36 / $374.44	Professional		$244.90	$283.36	$374.44
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $354.30	Professional		$85.01	$121.44	$354.30