Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $87.21 / $87.21	Facility		$87.21	$87.21	$87.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $87.21 / $100.29	Professional		$84.06	$87.21	$100.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $95.00 / $95.00	Facility		$87.56	$95.00	$95.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $99.82 / $100.02	Professional		$87.56	$99.82	$100.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $91.94 / $128.71	Facility		$89.31	$91.94	$128.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $89.31 / $89.31	Facility		$89.16	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $89.31 / $212.00	Professional		$79.31	$89.31	$212.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $91.06 / $109.45	Professional		$87.56	$91.06	$109.45