Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $152.15 / $159.09	Professional		$88.87	$152.15	$159.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $190.95 / $190.95	Facility		$190.95	$190.95	$190.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $181.40 / $328.16	Professional		$134.96	$181.40	$328.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $276.88 / $305.52	Facility		$190.95	$276.88	$305.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $190.95 / $190.95	Professional		$141.83	$190.95	$190.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $200.29 / $894.60	Professional		$65.00	$200.29	$894.60
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $86.50 / $143.50	Professional		$59.54	$86.50	$143.50