Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $75.29 / $314.33	Facility		$20.90	$75.29	$314.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $34.84	Professional		$21.53	$21.73	$34.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $23.36 / $39.34	Facility		$21.53	$23.36	$39.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $23.25	Professional		$21.53	$21.53	$23.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $42.20	Facility		$21.53	$21.53	$42.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $21.52	Facility		$20.30	$20.30	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $27.41	Professional		$21.52	$21.52	$27.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.87 / $65.97	Professional		$20.91	$28.87	$65.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $34.44 / $60.30	Professional		$22.82	$34.44	$60.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $28.66	Professional		$21.53	$22.82	$28.66