Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $632.00 / $6,726.00	Facility		$37.04	$632.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $38.19 / $76.15	Professional		$20.93	$38.19	$76.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $44.76 / $79.20	Professional		$26.54	$44.76	$79.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $67.14 / $118.81	Professional	50	$39.81	$67.14	$118.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $27.74 / $71.95	Facility		$22.64	$27.74	$71.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $48.14 / $51.33	Professional		$40.92	$48.14	$51.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $40.56 / $84.59	Professional		$23.13	$40.56	$84.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $48.14 / $98.41	Professional		$25.43	$48.14	$98.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $363.00 / $363.00	Facility		$363.00	$363.00	$363.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $57.95 / $100.22	Professional		$40.51	$57.95	$100.22