Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $72.16 / $138.43	Facility		$29.04	$72.16	$138.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $41.92 / $71.76	Professional		$29.04	$41.92	$71.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $53.80 / $151.10	Facility		$31.52	$53.80	$151.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $83.83	Professional		$19.80	$19.80	$83.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $63.32 / $93.86	Facility		$43.67	$63.32	$93.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $70.98 / $125.00	Facility		$43.54	$70.98	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $39.84 / $121.16	Professional		$21.77	$39.84	$121.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $62.01 / $339.97	Professional		$43.67	$62.01	$339.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $61.14 / $80.79	Professional		$52.84	$61.14	$80.79
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $29.28 / $79.34	Professional		$18.34	$29.28	$79.34