Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $131.83 / $323.59	Facility		$45.71	$131.83	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $173.78	Professional		$41.69	$109.65	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $426.58 / $457.09	Professional		$60.26	$426.58	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $229.09	Professional		$47.86	$123.03	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $134.90 / $269.15	Professional		$39.81	$134.90	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $134.90 / $281.84	Professional		$39.81	$134.90	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $199.53	Professional		$44.67	$109.65	$199.53