Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $54.48 / $54.48	Facility		$48.12	$54.48	$54.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $51.52 / $62.65	Professional		$45.82	$51.52	$62.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.78 / $54.78 / $54.78	Facility		$54.78	$54.78	$54.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $64.56 / $69.44	Professional		$62.13	$64.56	$69.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $45.13 / $74.25	Facility		$45.13	$45.13	$74.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $45.13 / $45.13	Professional		$45.13	$45.13	$45.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $137.55 / $283.89	Professional		$64.56	$137.55	$283.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $73.88 / $127.10	Professional		$56.83	$73.88	$127.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $101.80 / $122.60	Professional		$27.40	$101.80	$122.60
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $91.65	Professional		$73.09	$73.09	$91.65