Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $125.11 / $130.82	Professional		$70.80	$125.11	$130.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $157.02 / $157.02	Facility		$157.02	$157.02	$157.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $152.13 / $269.85	Professional		$110.98	$152.13	$269.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $227.68 / $251.23	Facility		$157.02	$227.68	$251.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $157.02 / $157.02	Professional		$119.44	$157.02	$157.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $164.69 / $735.64	Professional		$65.00	$164.69	$735.64
United Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $71.13 / $106.20	Professional		$49.94	$71.13	$106.20