Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $221.28	Facility		$74.13	$74.13	$221.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $82.89 / $109.17	Professional		$65.97	$82.89	$109.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $171.50 / $449.58	Facility		$122.50	$171.50	$449.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $158.02 / $271.57	Professional		$110.25	$158.02	$271.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.39 / $122.50 / $239.00	Facility		$88.39	$122.50	$239.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $104.13 / $104.13	Professional		$104.13	$104.13	$104.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $139.13	Professional		$94.02	$94.02	$139.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $122.50 / $233.00	Professional		$83.88	$122.50	$233.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $150.57 / $226.62	Professional		$69.20	$150.57	$226.62
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $97.86 / $153.53	Professional		$65.23	$97.86	$153.53