Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $67.31 / $80.00	Facility		$28.88	$67.31	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $33.88 / $39.96	Professional		$20.04	$33.88	$39.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $43.43 / $55.69	Facility		$7.62	$43.43	$55.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.59 / $43.43	Professional		$3.67	$4.59	$43.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $62.97 / $93.35	Facility		$43.43	$62.97	$93.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $95.55 / $133.74	Facility		$56.46	$95.55	$133.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.48 / $243.48 / $243.48	Professional		$243.48	$243.48	$243.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $56.46 / $337.24	Professional		$39.09	$56.46	$337.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $58.20 / $77.52	Professional		$50.38	$58.20	$77.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.06 / $78.92	Professional		$18.23	$26.06	$78.92