Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $31.63 / $94.50	Facility		$24.08	$31.63	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.90 / $36.59	Professional		$19.67	$25.90	$36.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $31.14 / $43.81	Facility		$18.60	$31.14	$43.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.83 / $47.66	Professional		$11.12	$14.83	$47.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Professional		$21.22	$21.22	$21.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $57.35 / $94.97	Facility		$4.75	$57.35	$94.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.76 / $63.23	Professional		$11.05	$16.76	$63.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $33.95 / $121.00	Professional		$27.33	$33.95	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $40.56 / $46.49	Professional		$37.36	$40.56	$46.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $15.31 / $28.67	Professional		$11.81	$15.31	$28.67