Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $70.81 / $124.61	Facility		$26.14	$70.81	$124.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $35.75 / $63.29	Professional		$26.14	$35.75	$63.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $43.44 / $136.01	Facility		$25.60	$43.44	$136.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $15.72 / $77.13	Professional		$11.79	$15.72	$77.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $55.03 / $84.52	Facility		$39.31	$55.03	$84.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $47.17 / $51.10	Professional		$39.31	$47.17	$51.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $66.00 / $109.08	Facility		$39.34	$66.00	$109.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $60.04 / $222.05	Professional		$17.91	$60.04	$222.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $51.10 / $307.32	Professional		$35.38	$51.10	$307.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.03 / $72.72	Professional		$47.57	$55.03	$72.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $68.81	Professional		$16.51	$23.59	$68.81