Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $161.57 / $300.33	Facility		$63.00	$161.57	$300.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.95 / $196.38	Professional		$63.00	$90.95	$196.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $121.04 / $327.80	Facility		$68.38	$121.04	$327.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $85.26 / $209.38	Professional		$34.00	$85.26	$209.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $137.37 / $203.63	Facility		$94.74	$137.37	$203.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $153.94 / $286.77	Facility		$81.86	$153.94	$286.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $129.80 / $389.45	Professional		$47.25	$129.80	$389.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $129.97 / $739.76	Professional		$94.74	$129.97	$739.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $132.63 / $175.27	Professional		$114.64	$132.63	$175.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $62.63 / $172.15	Professional		$39.79	$62.63	$172.15