Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $139.80 / $614.01	Facility		$13.66	$139.80	$614.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.30 / $18.46	Professional		$6.86	$9.30	$18.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $13.18 / $35.71	Facility		$7.45	$13.18	$35.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.09 / $20.69	Professional		$3.82	$5.09	$20.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.32 / $16.51	Facility		$6.71	$10.32	$16.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $10.32	Professional		$6.71	$6.71	$10.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $22.70 / $31.86	Facility		$10.32	$22.70	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $12.39 / $15.49	Professional		$6.42	$12.39	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.42 / $37.08	Professional		$11.28	$13.42	$37.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.36 / $2,164.00 / $2,233.01	Facility		$1,335.36	$2,164.00	$2,233.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.50 / $18.85	Professional		$6.06	$8.50	$18.85