Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $339.75 / $354.02	Facility		$90.77	$339.75	$354.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $90.77 / $134.78	Professional		$79.88	$90.77	$134.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $122.31 / $205.28	Professional		$78.16	$122.31	$205.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $110.80 / $110.80	Facility		$110.80	$110.80	$110.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $122.19 / $222.21	Professional		$82.63	$122.19	$222.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $110.73 / $439.09	Professional		$85.18	$110.73	$439.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $175.80 / $219.20	Professional		$149.30	$175.80	$219.20
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $107.88 / $182.50	Professional		$80.91	$107.88	$182.50