Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $36.08 / $98.97	Facility		$20.76	$36.08	$98.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $28.72 / $67.75	Professional		$20.76	$28.72	$67.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $33.90 / $108.02	Facility		$20.73	$33.90	$108.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $44.72	Professional		$12.49	$12.49	$44.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $45.27 / $67.11	Facility		$31.22	$45.27	$67.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $54.93 / $86.53	Facility		$31.28	$54.93	$86.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $35.65 / $81.48	Professional		$13.83	$35.65	$81.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.33 / $242.03	Professional		$31.22	$44.33	$242.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $39.03 / $44.96	Professional		$38.40	$39.03	$44.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $17.55 / $56.73	Professional		$13.11	$17.55	$56.73