Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $49.61 / $171.93	Facility		$19.94	$49.61	$171.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $32.70 / $67.94	Professional		$19.94	$32.70	$67.94
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 $19.84 / $32.85 / $65.79	Professional		$19.84	$32.85	$65.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $40.52 / $77.04	Facility		$34.36	$40.52	$77.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $2,500.00	Facility		$33.75	$33.75	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $49.18 / $90.22	Professional		$25.81	$49.18	$90.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $35.36 / $75.66	Professional		$23.08	$35.36	$75.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.16	Professional		$52.04	$52.04	$52.16
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,550.00 / $2,665.00	Facility		$353.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $54.13 / $80.28	Professional		$27.88	$54.13	$80.28