Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $21.39 / $38.83	Facility		$8.15	$21.39	$38.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.66 / $17.51	Professional		$8.15	$10.66	$17.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $15.66 / $42.39	Facility		$8.84	$15.66	$42.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.92 / $24.04	Professional		$4.44	$5.92	$24.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $12.25 / $19.60	Facility		$9.30	$12.25	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $26.95 / $37.63	Facility		$12.25	$26.95	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.87 / $18.59	Professional		$7.33	$14.87	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $18.46 / $41.84	Professional		$12.25	$18.46	$41.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $1,845.69 / $2,164.00	Facility		$1,663.61	$1,845.69	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $9.82 / $16.76	Professional		$6.74	$9.82	$16.76