Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $168.34 / $168.34	Facility		$168.34	$168.34	$168.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $168.34 / $232.74	Professional		$162.26	$168.34	$232.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $280.37 / $632.04	Facility		$172.22	$280.37	$632.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $182.54 / $192.68	Professional		$169.02	$182.54	$192.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $177.47 / $346.07	Facility		$172.40	$177.47	$346.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $224.12 / $397.00	Professional		$172.40	$224.12	$397.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $342.85 / $418.94	Professional		$312.36	$342.85	$418.94
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $254.34	Professional		$202.82	$202.82	$254.34