Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $157.69 / $157.69	Facility		$157.69	$157.69	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $157.69 / $161.50	Professional		$152.00	$157.69	$161.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $168.72	Professional		$65.92	$65.92	$168.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $166.25 / $166.25	Facility		$161.50	$166.25	$166.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $311.00	Professional		$161.50	$161.50	$311.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $121.95 / $239.19	Professional		$112.06	$121.95	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $205.86	Professional		$167.51	$167.51	$205.86