Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $53.70	Facility		$22.61	$22.61	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $23.56 / $31.73	Professional		$18.30	$23.56	$31.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $66.64 / $174.69	Facility		$47.60	$66.64	$174.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $39.58 / $75.98	Professional		$21.57	$39.58	$75.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $40.46 / $88.06	Facility		$30.35	$40.46	$88.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $40.46 / $40.46	Professional		$40.46	$40.46	$40.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $22.60 / $41.25	Professional		$16.86	$22.60	$41.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $47.60 / $66.06	Professional		$36.18	$47.60	$66.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $59.50 / $60.70	Professional		$58.86	$59.50	$60.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $22.36 / $39.18	Professional		$15.83	$22.36	$39.18