Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $53.02 / $64.19	Professional		$37.82	$53.02	$64.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Facility		$65.81	$65.81	$65.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $67.43 / $113.13	Professional		$46.52	$67.43	$113.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $95.44 / $105.31	Facility		$65.81	$95.44	$105.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $65.81 / $90.00	Professional		$52.66	$65.81	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $69.04 / $308.37	Professional		$35.00	$69.04	$308.37
United Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $29.82 / $47.85	Professional		$21.89	$29.82	$47.85