Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $23.17 / $182.05	Facility		$17.60	$23.17	$182.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $19.27 / $27.91	Professional		$15.95	$19.27	$27.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $28.08 / $139.46	Facility		$14.38	$28.08	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $35.47	Professional		$10.80	$10.80	$35.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $15.63 / $15.63	Professional		$15.63	$15.63	$15.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $42.18 / $69.58	Facility		$12.51	$42.18	$69.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $12.32 / $46.59	Professional		$7.68	$12.32	$46.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $24.87 / $99.00	Professional		$20.14	$24.87	$99.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Professional		$29.23	$29.23	$29.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.22 / $21.13	Professional		$8.61	$11.22	$21.13