Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $104.58 / $11,437.99	Facility		$89.34	$104.58	$11,437.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $126.76	Professional		$89.34	$90.24	$126.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $142.94 / $327.88	Facility		$89.34	$142.94	$327.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $96.48	Professional		$89.34	$89.34	$96.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $175.11	Facility		$89.34	$89.34	$175.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.63	Professional		$89.34	$89.34	$126.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $146.65 / $337.00	Professional		$116.24	$146.65	$337.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $142.94 / $190.23	Professional		$72.61	$142.94	$190.23
United Facility/Professional Facility Modifier Low / Median / High Price $110.85 / $326.56 / $326.56	Facility		$110.85	$326.56	$326.56
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $114.36	Professional		$89.34	$94.70	$114.36