Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.47 / $10,120.24	Facility		$33.88	$34.47	$10,120.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $2,336.67	Professional		$33.88	$34.47	$2,336.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.21 / $124.34	Facility		$33.88	$54.21	$124.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $34.54	Professional		$33.88	$33.88	$34.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $55.17	Facility		$33.88	$33.88	$55.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $54.21	Professional		$33.88	$34.47	$54.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $33.88	Facility		$31.96	$31.96	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.15	Professional		$33.88	$33.88	$43.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $45.83 / $108.00	Professional		$35.25	$45.83	$108.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $55.93 / $85.60	Professional		$27.40	$55.93	$85.60
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.06	Professional		$33.88	$33.88	$45.06