Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $127.71 / $303.37	Facility		$127.71	$127.71	$303.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $127.71 / $179.25	Professional		$106.22	$127.71	$179.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.93 / $376.50 / $986.97	Facility		$268.93	$376.50	$986.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $223.61 / $429.33	Professional		$122.85	$223.61	$429.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.75 / $228.59 / $497.52	Facility		$171.75	$228.59	$497.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $228.59 / $228.59	Professional		$228.59	$228.59	$228.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $133.27 / $244.13	Professional		$99.43	$133.27	$244.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $268.93 / $377.83	Professional		$204.39	$268.93	$377.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $457.18 / $507.47	Professional		$332.49	$457.18	$507.47
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $126.29 / $221.35	Professional		$89.44	$126.29	$221.35