Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $36.08 / $63.56	Facility		$13.33	$36.08	$63.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $17.47 / $35.86	Professional		$13.33	$17.47	$35.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $25.61 / $69.37	Facility		$14.47	$25.61	$69.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $9.90 / $40.88	Professional		$7.92	$9.90	$40.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $28.07 / $39.29	Facility		$15.29	$28.07	$39.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $44.11 / $61.64	Facility		$19.98	$44.11	$61.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $24.37 / $52.33	Professional		$10.11	$24.37	$52.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.07 / $155.03	Professional		$20.05	$28.07	$155.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.66 / $35.79	Professional		$20.05	$24.66	$35.79
United Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.37 / $36.43	Professional		$8.42	$13.37	$36.43