Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $43.54 / $167.83	Facility		$11.06	$43.54	$167.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.07 / $30.70	Professional		$13.35	$16.07	$30.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $26.18 / $83.42	Facility		$9.11	$26.18	$83.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $9.64 / $22.38	Professional		$7.23	$9.64	$22.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $24.11 / $38.58	Facility		$15.67	$24.11	$38.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $15.67 / $24.11	Professional		$15.67	$15.67	$24.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $53.04 / $66.00	Facility		$22.97	$53.04	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $29.32 / $36.65	Professional		$11.15	$29.32	$36.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $27.73 / $36.32	Professional		$21.57	$27.73	$36.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.90 / $2,150.00 / $2,421.69	Facility		$1,261.90	$2,150.00	$2,421.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $10.13 / $25.23	Professional		$4.38	$10.13	$25.23