Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $4,073.80	Facility		$23.99	$33.11	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $36.31	Professional		$19.95	$25.70	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $43.65	Facility		$19.50	$37.15	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $39.81	Professional		$14.79	$14.79	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $57.54 / $100.00	Facility		$12.88	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $58.88	Professional		$10.23	$16.60	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $123.03	Professional		$26.92	$33.88	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $35.48	Professional		$30.90	$30.90	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $52.48 / $52.48	Facility		$11.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $26.92	Professional		$10.47	$15.14	$26.92