Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $36.33 / $85.11	Facility		$18.45	$36.33	$85.11
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 $272.94 / $327.87 / $413.58	Facility		$272.94	$327.87	$413.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $28.07 / $37.09	Professional		$24.26	$28.07	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $16.12 / $42.11	Professional		$9.02	$16.12	$42.11