Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.38 / $33.50	Professional		$14.40	$20.38	$33.50
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $30.60 / $55.63	Professional		$20.85	$30.60	$55.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.11 / $38.50	Professional		$28.18	$30.11	$38.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $51.00 / $108.10	Professional		$17.50	$51.00	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $35.97 / $90.00	Professional		$24.69	$35.97	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $28.42 / $49.35	Professional		$20.76	$28.42	$49.35
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $26.64 / $36.04	Professional		$18.04	$26.64	$36.04