Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.04 / $493.24 / $801.11	Facility		$215.04	$493.24	$801.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.62 / $335.55 / $534.11	Professional		$255.62	$335.55	$534.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $383.55 / $411.36	Facility		$326.02	$383.55	$411.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $313.76 / $313.76	Professional		$313.76	$313.76	$313.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $345.42 / $673.58	Facility		$232.21	$345.42	$673.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.36 / $528.00 / $918.00	Professional		$232.36	$528.00	$918.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $230.12 / $230.12 / $597.90	Facility		$230.12	$230.12	$597.90
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $394.76 / $411.36	Professional		$329.09	$394.76	$411.36