Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $72.78 / $202.31	Facility		$25.81	$72.78	$202.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $23.04 / $25.81	Professional		$17.16	$23.04	$25.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $32.97 / $89.30	Facility		$18.63	$32.97	$89.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.74 / $51.71	Professional		$9.55	$12.74	$51.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $25.81 / $41.30	Facility		$16.78	$25.81	$41.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $25.81	Professional		$16.78	$16.78	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $56.78 / $79.42	Facility		$25.80	$56.78	$79.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $31.39 / $39.24	Professional		$15.89	$31.39	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $33.54 / $92.73	Professional		$28.20	$33.54	$92.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $211.10 / $211.10 / $211.10	Facility		$211.10	$211.10	$211.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $20.00 / $47.15	Professional		$15.15	$20.00	$47.15