Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $62.69 / $110.95	Facility		$23.28	$62.69	$110.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $29.75 / $40.25	Professional		$9.85	$29.75	$40.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $38.50 / $121.10	Facility		$21.32	$38.50	$121.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.04 / $59.50	Professional		$10.50	$16.04	$59.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $50.75 / $75.23	Facility		$35.00	$50.75	$75.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $66.00 / $144.28	Facility		$39.31	$66.00	$144.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $46.95 / $196.72	Professional		$15.96	$46.95	$196.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $45.50 / $271.94	Professional		$31.50	$45.50	$271.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $49.00 / $64.75	Professional		$42.35	$49.00	$64.75
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $21.00 / $61.27	Professional		$14.70	$21.00	$61.27