Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $75.86 / $141.25	Facility		$37.15	$75.86	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $75.86	Professional		$21.88	$37.15	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $72.44	Facility		$26.92	$53.70	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $51.29 / $97.72	Professional		$20.42	$51.29	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Facility		$50.12	$58.88	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $56.23	Professional		$50.12	$53.70	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $128.82	Facility		$41.69	$67.61	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $50.12 / $114.82	Professional		$20.89	$50.12	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $323.59	Professional		$37.15	$58.88	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $51.29	Facility		$34.67	$37.15	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $72.44	Professional		$17.38	$29.51	$72.44