Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $73.30 / $486.82	Facility		$34.04	$73.30	$486.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $61.43 / $247.62	Professional		$34.04	$61.43	$247.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $56.31 / $177.12	Facility		$36.95	$56.31	$177.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $98.19	Professional		$22.75	$22.75	$98.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $71.67 / $110.06	Facility		$51.19	$71.67	$110.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $61.43 / $66.55	Professional		$51.19	$61.43	$66.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $83.18 / $142.00	Facility		$50.95	$83.18	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $68.80 / $169.95	Professional		$24.75	$68.80	$169.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $77.12 / $399.79	Professional		$51.19	$77.12	$399.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $829.29 / $1,029.61 / $1,049.97	Facility		$829.29	$1,029.61	$1,049.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $78.83 / $94.70	Professional		$51.19	$78.83	$94.70
United Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Facility		$44.04	$44.04	$44.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $55.09 / $123.14	Professional		$30.71	$55.09	$123.14