Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $143.00 / $602.15	Facility		$29.88	$143.00	$602.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.88 / $41.67	Professional		$28.80	$29.88	$41.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $32.54 / $32.54	Facility		$30.00	$32.54	$32.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.40 / $34.20	Professional		$30.00	$32.40	$34.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $31.50 / $61.43	Facility		$30.60	$31.50	$61.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $58.81 / $58.81	Professional		$58.81	$58.81	$58.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $61.20 / $645.00	Professional		$30.60	$61.20	$645.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.13 / $439.78 / $479.94	Professional		$314.13	$439.78	$479.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $36.00	Professional		$30.00	$30.00	$36.00