Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $53.28 / $99.75	Facility		$20.00	$53.28	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.53 / $40.00	Professional		$20.00	$23.53	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $23.00 / $82.02	Facility		$21.41	$23.00	$82.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $21.00 / $21.00	Professional		$20.11	$21.00	$21.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.59 / $40.35	Facility		$20.00	$20.59	$40.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $75.00 / $75.00	Professional		$19.03	$75.00	$75.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $215.15 / $355.00	Facility		$51.25	$215.15	$355.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $39.11	Professional		$22.35	$23.53	$39.11