Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $39.45 / $407.41	Facility		$14.24	$39.45	$407.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $42.94 / $176.08	Professional		$14.24	$42.94	$176.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $27.36 / $74.11	Facility		$15.46	$27.36	$74.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $46.70	Professional		$12.13	$12.13	$46.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $29.99 / $46.05	Facility		$21.42	$29.99	$46.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $27.85	Professional		$21.42	$25.70	$27.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $47.12 / $66.00	Facility		$21.28	$47.12	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $28.82 / $71.11	Professional		$10.69	$28.82	$71.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $32.27 / $165.88	Professional		$21.42	$32.27	$165.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,446.69 / $5,938.87	Facility		$3,425.00	$5,446.69	$5,938.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $32.99 / $39.63	Professional		$21.42	$32.99	$39.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $29.38 / $56.69	Professional		$12.85	$29.38	$56.69