Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $72.08 / $167.83	Professional		$53.27	$72.08	$167.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $92.45 / $172.31	Professional		$69.69	$92.45	$172.31
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 Professional Modifier Low / Median / High Price $52.96 / $92.15 / $136.11	Professional		$52.96	$92.15	$136.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $120.73 / $301.00	Professional		$83.51	$120.73	$301.00
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 / $87.96 / $135.08	Professional		$65.40	$87.96	$135.08