Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $37.04 / $87.71	Facility		$36.67	$37.04	$87.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.83	Professional		$36.67	$36.67	$44.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $39.79 / $312.26	Facility		$36.67	$39.79	$312.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $38.45	Professional		$36.67	$36.67	$38.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $71.87	Facility		$36.67	$36.67	$71.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $36.67	Facility		$34.59	$34.59	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $46.80	Professional		$36.67	$36.67	$46.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.82 / $443.92	Professional		$36.31	$53.82	$443.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $64.08 / $172.40	Professional		$36.67	$64.08	$172.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $48.81	Professional		$36.67	$36.67	$48.81