Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $406.09 / $5,860.48	Facility		$66.97	$406.09	$5,860.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $73.12 / $93.99	Professional		$60.68	$73.12	$93.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $197.43 / $517.54	Facility		$141.02	$197.43	$517.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $117.26 / $225.14	Professional		$74.05	$117.26	$225.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $119.87 / $260.89	Facility		$109.62	$119.87	$260.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $119.87 / $119.87	Professional		$119.87	$119.87	$119.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $149.63	Professional		$56.28	$77.09	$149.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $141.02 / $196.09	Professional		$107.18	$141.02	$196.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $239.73 / $266.10	Professional		$91.66	$239.73	$266.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $70.36 / $116.07	Professional		$46.90	$70.36	$116.07