Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.47 / $96.61	Facility		$52.04	$52.47	$96.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.47 / $62.97	Professional		$52.04	$52.47	$62.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $83.95 / $192.56	Facility		$52.47	$83.95	$192.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $53.51	Professional		$52.47	$52.47	$53.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $52.47 / $102.84	Facility		$52.47	$52.47	$102.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $52.47	Facility		$49.50	$49.50	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $61.88	Professional		$52.47	$52.47	$61.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $55.31 / $115.64	Professional		$40.83	$55.31	$115.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $89.21 / $108.08	Professional		$49.85	$89.21	$108.08
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $64.23	Professional		$52.47	$52.47	$64.23