Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $30.29 / $53.48	Facility		$11.22	$30.29	$53.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.70 / $19.39	Professional		$11.22	$14.70	$19.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $21.55 / $58.37	Facility		$12.18	$21.55	$58.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.33 / $33.79	Professional		$6.24	$8.33	$33.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $16.87 / $26.99	Facility		$11.51	$16.87	$26.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.11 / $52.29	Facility		$16.77	$37.11	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.93 / $60.61	Professional		$18.43	$21.93	$60.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $355.69 / $427.27 / $556.91	Facility		$355.69	$427.27	$556.91
United Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Facility		$15.18	$15.18	$15.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.84 / $23.57	Professional		$9.27	$12.84	$23.57