Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $45.26 / $6,705.00	Facility		$10.11	$45.26	$6,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $28.40 / $63.84	Professional		$9.57	$28.40	$63.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $28.21 / $59.77	Professional		$11.86	$28.21	$59.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $12.18 / $17.84	Facility		$8.81	$12.18	$17.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.61 / $62.69	Professional		$36.40	$36.61	$62.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.85 / $70.92	Professional		$11.68	$28.85	$70.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $33.10 / $58.44	Professional		$10.57	$33.10	$58.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,914.00 / $6,914.00 / $6,914.00	Facility		$6,914.00	$6,914.00	$6,914.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $37.97 / $72.06	Professional		$27.25	$37.97	$72.06