Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $73.84 / $92.26	Professional		$47.15	$73.84	$92.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $88.78	Facility		$88.78	$88.78	$88.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $95.77 / $152.58	Professional		$62.75	$95.77	$152.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $128.72 / $142.05	Facility		$88.78	$128.72	$142.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $88.78 / $91.17	Professional		$71.02	$88.78	$91.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $93.13 / $415.93	Professional		$35.00	$93.13	$415.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $42.44 / $71.40	Professional		$29.53	$42.44	$71.40