Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $63.16 / $223.42	Facility		$23.33	$63.16	$223.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.59 / $42.19	Professional		$23.33	$31.59	$42.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.77 / $121.41	Facility		$22.85	$38.77	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $53.72	Professional		$17.32	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $75.44	Facility		$35.09	$49.13	$75.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $45.62	Professional		$35.09	$42.11	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $62.10 / $108.68	Facility		$34.83	$62.10	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $42.18 / $105.92	Professional		$17.55	$42.18	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,423.03 / $2,423.03 / $2,423.03	Facility		$2,423.03	$2,423.03	$2,423.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $43.16	Professional		$42.46	$42.46	$43.16
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $43.86	Facility		$26.48	$26.48	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $73.50	Professional		$14.74	$21.05	$73.50