Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $42.41 / $86.00	Facility		$19.01	$42.41	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.04 / $28.79	Professional		$13.33	$18.04	$28.79
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 $9.90 / $9.90 / $41.93	Professional		$9.90	$9.90	$41.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $28.07 / $43.11	Facility		$20.05	$28.07	$43.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.06 / $26.07	Professional		$20.05	$24.06	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $44.11 / $62.92	Facility		$19.98	$44.11	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $32.88 / $60.22	Professional		$10.02	$32.88	$60.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.21 / $155.03	Professional		$20.05	$30.21	$155.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $119.22 / $150.38	Facility		$99.24	$119.22	$150.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $24.66 / $37.09	Professional		$19.51	$24.66	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.40 / $36.63	Professional		$8.42	$14.40	$36.63