Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $65.59 / $116.09	Facility		$24.35	$65.59	$116.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $34.06 / $58.96	Professional		$24.35	$34.06	$58.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $40.47 / $126.71	Facility		$23.85	$40.47	$126.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $14.65 / $71.84	Professional		$10.98	$14.65	$71.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $51.27 / $78.73	Facility		$36.61	$51.27	$78.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $43.94 / $47.61	Professional		$36.61	$43.94	$47.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $61.11 / $101.56	Facility		$36.44	$61.11	$101.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $55.66 / $206.48	Professional		$16.76	$55.66	$206.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $47.61 / $285.52	Professional		$32.96	$47.61	$285.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $51.27 / $67.75	Professional		$44.31	$51.27	$67.75
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $36.61	Facility		$32.96	$32.96	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $64.09	Professional		$15.38	$21.97	$64.09