Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $34.96 / $77.52	Facility		$13.41	$34.96	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.62 / $28.14	Professional		$10.74	$14.62	$28.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $18.32 / $58.16	Facility		$11.16	$18.32	$58.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.72 / $25.48	Professional		$5.04	$6.72	$25.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $16.80 / $26.90	Facility		$10.93	$16.80	$26.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $16.80	Professional		$10.93	$10.93	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $36.97 / $52.26	Facility		$15.11	$36.97	$52.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $19.41 / $25.81	Professional		$7.61	$19.41	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.52 / $43.10	Professional		$19.32	$23.52	$43.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $185.77 / $332.21	Facility		$154.66	$185.77	$332.21
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.09 / $17.14	Professional		$7.06	$10.09	$17.14