Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $144.41 / $144.41	Facility		$144.41	$144.41	$144.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $147.90	Professional		$139.19	$144.41	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $143.55 / $165.30	Professional		$34.20	$143.55	$165.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $152.25 / $152.25	Facility		$147.90	$152.25	$152.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $393.76 / $414.93	Professional		$380.18	$393.76	$414.93
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $193.01	Professional		$145.00	$145.00	$193.01