Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $51.29 / $9,549.93	Facility		$48.98	$51.29	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $89.13	Professional		$48.98	$48.98	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $269.15	Facility		$48.98	$79.43	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $102.33	Professional		$48.98	$102.33	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Facility		$46.77	$46.77	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $66.07	Professional		$40.74	$66.07	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $18,620.87 / $18,620.87	Facility		$15,488.17	$18,620.87	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $131.83	Facility		$47.86	$93.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $97.72	Professional		$48.98	$48.98	$97.72