Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.29 / $47.47	Facility		$26.71	$32.29	$47.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.07	Professional		$26.71	$26.71	$39.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $42.74 / $98.03	Facility		$26.71	$42.74	$98.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $28.84	Professional		$26.71	$26.71	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $52.35	Facility		$26.71	$26.71	$52.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $26.71	Facility		$25.20	$25.20	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $34.02	Professional		$26.71	$26.71	$34.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $47.93 / $93.32	Professional		$29.52	$47.93	$93.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $42.74 / $95.18	Professional		$26.71	$42.74	$95.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $59.12 / $59.12	Facility		$30.32	$59.12	$59.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.17 / $35.54	Professional		$26.71	$28.17	$35.54