Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $67.76 / $73.65	Professional		$49.69	$67.76	$73.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $84.11 / $84.11	Facility		$84.11	$84.11	$84.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $87.36 / $144.55	Professional		$59.45	$87.36	$144.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $121.96 / $134.58	Facility		$84.11	$121.96	$134.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $84.11 / $90.00	Professional		$67.29	$84.11	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $88.23 / $394.06	Professional		$65.00	$88.23	$394.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $38.79 / $69.94	Professional		$27.98	$38.79	$69.94