Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $144.82	Professional		$137.93	$137.93	$144.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $140.68	Professional		$137.93	$137.93	$140.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $270.33	Facility		$137.93	$137.93	$270.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $130.12 / $137.93	Facility		$130.12	$130.12	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $175.66	Professional		$137.93	$137.93	$175.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.71 / $232.71 / $589.00	Professional		$232.71	$232.71	$589.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $234.48 / $255.16	Professional		$192.97	$234.48	$255.16
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $241.38	Professional		$137.93	$137.93	$241.38