Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $51.19 / $60.36	Professional		$37.24	$51.19	$60.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $66.37 / $105.75	Professional		$43.49	$66.37	$105.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $89.23 / $98.46	Facility		$61.54	$89.23	$98.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $61.54 / $90.00	Professional		$49.23	$61.54	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.54 / $288.31	Professional		$55.00	$64.54	$288.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $29.42 / $49.23	Professional		$20.47	$29.42	$49.23