Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $47.40 / $157.27	Facility		$19.94	$47.40	$157.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $33.09 / $66.31	Professional		$19.94	$33.09	$66.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $32.59 / $69.09	Professional		$18.77	$32.59	$69.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $38.40 / $77.39	Facility		$32.63	$38.40	$77.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $2,500.00	Facility		$32.14	$32.14	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $46.02 / $81.36	Professional		$24.23	$46.02	$81.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $34.53 / $80.70	Professional		$21.86	$34.53	$80.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $50.28 / $50.80	Professional		$50.28	$50.28	$50.80
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $53.05 / $82.80	Professional		$27.80	$53.05	$82.80