Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $24.95 / $43.97	Facility		$9.22	$24.95	$43.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.79 / $25.08	Professional		$9.22	$11.79	$25.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $17.72 / $47.99	Facility		$10.01	$17.72	$47.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.85 / $27.90	Professional		$5.13	$6.85	$27.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $13.87 / $22.19	Facility		$9.46	$13.87	$22.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $30.51 / $43.30	Facility		$13.87	$30.51	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $16.93 / $21.16	Professional		$8.55	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $19.70 / $109.20	Professional		$15.16	$19.70	$109.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $60.17 / $127.93	Facility		$50.10	$60.17	$127.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $10.11 / $29.35	Professional		$6.24	$10.11	$29.35