Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $31.93 / $133.16	Facility		$11.92	$31.93	$133.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.00 / $107.58	Professional		$13.45	$17.00	$107.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $22.14 / $62.04	Facility		$12.94	$22.14	$62.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $8.86 / $28.71	Professional		$6.64	$8.86	$28.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $17.93 / $28.69	Facility		$11.65	$17.93	$28.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.93	Professional		$11.65	$11.65	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.45 / $55.37	Facility		$17.73	$39.45	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $21.89 / $27.36	Professional		$9.47	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $20.62 / $27.01	Professional		$19.59	$20.62	$27.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,225.98 / $1,225.98 / $1,225.98	Facility		$1,225.98	$1,225.98	$1,225.98
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.65 / $22.14	Professional		$9.30	$11.65	$22.14