Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $92.38	Professional		$87.98	$87.98	$92.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $89.73	Professional		$87.98	$87.98	$89.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $172.44	Facility		$87.98	$87.98	$172.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $87.98	Facility		$83.00	$83.00	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $112.05	Professional		$87.98	$87.98	$112.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $95.15 / $357.00	Professional		$95.15	$95.15	$357.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $162.76 / $239.19	Professional		$149.56	$162.76	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $101.98	Professional		$87.98	$87.98	$101.98