Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $114.06 / $270.95	Facility		$114.06	$114.06	$270.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $118.88 / $160.09	Professional		$90.87	$118.88	$160.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.19 / $336.27 / $881.50	Facility		$240.19	$336.27	$881.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $199.72 / $383.46	Professional		$109.55	$199.72	$383.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $204.16 / $444.35	Facility		$153.12	$204.16	$444.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $204.16 / $204.16	Professional		$204.16	$204.16	$204.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $240.59	Professional		$85.07	$85.07	$240.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $240.19 / $337.19	Professional		$182.54	$240.19	$337.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $296.95 / $444.35	Professional		$134.74	$296.95	$444.35
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $112.79 / $197.69	Professional		$79.89	$112.79	$197.69