Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $14.71 / $30.27	Facility		$6.35	$14.71	$30.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.39 / $9.55	Professional		$6.35	$7.39	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $11.20 / $33.04	Facility		$6.69	$11.20	$33.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.03 / $16.94	Professional		$3.02	$4.03	$16.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $9.55 / $15.28	Facility		$6.21	$9.55	$15.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $9.55	Professional		$6.21	$6.21	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $21.01 / $29.26	Facility		$9.67	$21.01	$29.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $11.56 / $14.45	Professional		$5.04	$11.56	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.42 / $29.34	Professional		$10.44	$12.42	$29.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $212.78 / $212.78 / $212.78	Facility		$212.78	$212.78	$212.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.68 / $17.28	Professional		$4.79	$6.68	$17.28