Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $58.48 / $701.26	Facility		$12.33	$58.48	$701.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $10.98 / $18.54	Professional		$6.71	$10.98	$18.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $15.10 / $41.83	Facility		$9.91	$15.10	$41.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $8.24 / $29.93	Professional		$4.11	$8.24	$29.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $13.73 / $21.97	Facility		$7.75	$13.73	$21.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $13.73	Professional		$8.92	$8.92	$13.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $26.15 / $42.84	Facility		$13.54	$26.15	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $16.93 / $21.16	Professional		$6.26	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.85 / $90.00	Professional		$15.00	$17.85	$90.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $732.61 / $920.45 / $1,111.39	Facility		$732.61	$920.45	$1,111.39
United Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $12.36	Facility		$12.36	$12.36	$12.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.24 / $27.46	Professional		$5.99	$8.24	$27.46