Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $186.77	Facility		$134.88	$134.88	$186.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $137.58	Professional		$134.88	$134.88	$137.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $264.38	Facility		$134.88	$134.88	$264.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $134.88	Facility		$127.25	$127.25	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $171.79	Professional		$134.88	$134.88	$171.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $143.41 / $505.00	Professional		$143.41	$143.41	$505.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $229.31 / $249.54	Professional		$192.97	$229.31	$249.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $156.35	Professional		$134.88	$134.88	$156.35