Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $93.96 / $154.53	Facility		$93.96	$93.96	$154.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $99.59 / $123.63	Professional		$76.65	$99.59	$123.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $147.37 / $352.89	Professional		$104.15	$147.37	$352.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $213.69 / $235.79	Facility		$206.32	$213.69	$235.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $191.43	Professional		$60.12	$60.12	$191.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $147.37 / $541.72	Professional		$117.90	$147.37	$541.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $187.90 / $272.63	Professional		$150.32	$187.90	$272.63
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $73.52 / $200.97	Professional		$49.01	$73.52	$200.97