Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $42.41 / $108.22	Facility		$15.13	$42.41	$108.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $21.84 / $46.27	Professional		$15.13	$21.84	$46.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $27.06 / $78.72	Facility		$16.42	$27.06	$78.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $42.85	Professional		$9.90	$9.90	$42.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $32.99 / $48.89	Facility		$22.75	$32.99	$48.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $50.05 / $66.00	Facility		$22.57	$50.05	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $34.70 / $67.72	Professional		$11.29	$34.70	$67.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $32.31 / $176.82	Professional		$22.75	$32.31	$176.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $27.98 / $40.61	Professional		$22.14	$27.98	$40.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $14.64 / $41.34	Professional		$9.56	$14.64	$41.34