Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $96.75 / $230.10	Facility		$15.02	$96.75	$230.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.82 / $19.86	Professional		$11.48	$13.82	$19.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $22.06 / $59.75	Facility		$15.38	$22.06	$59.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $15.54 / $26.76	Professional		$5.18	$15.54	$26.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.27 / $27.63	Facility		$11.23	$17.27	$27.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $17.27	Professional		$11.23	$11.23	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $37.99 / $53.31	Facility		$17.09	$37.99	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $21.06 / $26.33	Professional		$7.91	$21.06	$26.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.86 / $26.02	Professional		$19.44	$19.86	$26.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $1,261.90 / $1,274.00	Facility		$503.75	$1,261.90	$1,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.27	Professional		$7.25	$10.36	$17.27