Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $332.86 / $504.73	Facility		$196.00	$332.86	$504.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $191.87 / $272.05	Professional		$161.75	$191.87	$272.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $496.77 / $524.71	Professional		$155.26	$496.77	$524.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.97 / $258.97 / $258.97	Facility		$258.97	$258.97	$258.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $135.40 / $135.40	Professional		$135.40	$135.40	$135.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $188.27	Facility		$188.27	$188.27	$188.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $239.28 / $482.86	Professional		$151.83	$239.28	$482.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $213.00 / $722.59	Professional		$155.24	$213.00	$722.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $256.85 / $402.20	Professional		$143.60	$256.85	$402.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $218.48 / $425.73	Professional		$161.12	$218.48	$425.73