Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $304.77 / $56,512.00	Facility		$243.71	$304.77	$56,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.82 / $361.90	Professional		$243.71	$243.82	$361.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $389.94 / $894.42	Facility		$243.71	$389.94	$894.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $248.58	Professional		$243.71	$243.71	$248.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $477.67	Facility		$243.71	$243.71	$477.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $229.92 / $243.71	Facility		$229.92	$229.92	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $288.73	Professional		$243.71	$243.71	$288.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $312.08 / $557.00	Professional		$240.06	$312.08	$557.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $414.31 / $502.02	Professional		$231.53	$414.31	$502.02
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $305.61	Professional		$243.71	$258.33	$305.61