Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.79 / $179.79 / $427.08	Facility		$179.79	$179.79	$427.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $227.10 / $309.94	Professional		$179.79	$227.10	$309.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.59 / $530.03 / $1,389.43	Facility		$378.59	$530.03	$1,389.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $314.80 / $604.41	Professional		$201.85	$314.80	$604.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.80 / $378.59 / $742.04	Facility		$321.80	$378.59	$742.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $321.80 / $321.80	Professional		$321.80	$321.80	$321.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.56 / $438.75	Professional		$172.70	$236.56	$438.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $378.59 / $571.15	Professional		$287.73	$378.59	$571.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $468.07 / $473.24 / $482.71	Professional		$468.07	$473.24	$482.71
United Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $188.88 / $311.62	Professional		$125.92	$188.88	$311.62