Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $145.00 / $457.00	Facility		$64.02	$145.00	$457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $72.08 / $165.09	Professional		$53.27	$72.08	$165.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $93.26 / $172.31	Professional		$69.69	$93.26	$172.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $132.96 / $160.97	Facility		$96.24	$132.96	$160.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $103.62 / $132.16	Professional		$96.07	$103.62	$132.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $100.61	Facility		$60.00	$70.00	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $92.15 / $138.66	Professional		$52.96	$92.15	$138.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $120.73 / $183.00	Professional		$83.51	$120.73	$183.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $111.69 / $166.43	Professional		$71.50	$111.69	$166.43
United Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $92.65 / $139.10	Professional		$65.40	$92.65	$139.10