Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $57.25 / $152.40	Facility		$11.76	$57.25	$152.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $15.71 / $31.43	Professional		$11.74	$15.71	$31.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $19.87 / $62.49	Facility		$8.92	$19.87	$62.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.92 / $18.05	Professional		$6.69	$8.92	$18.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $18.05 / $28.90	Facility		$11.74	$18.05	$28.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $18.05	Professional		$11.74	$11.74	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.72 / $56.37	Facility		$18.05	$39.72	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $21.89 / $27.36	Professional		$11.74	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $21.57 / $27.21	Professional		$19.73	$21.57	$27.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $367.02 / $452.20 / $543.21	Facility		$367.02	$452.20	$543.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $8.13 / $25.23	Professional		$4.38	$8.13	$25.23