Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $36.08 / $69.48	Facility		$14.58	$36.08	$69.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $20.39 / $53.72	Professional		$14.58	$20.39	$53.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $26.91 / $75.84	Facility		$15.82	$26.91	$75.84
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 $21.92 / $31.78 / $47.11	Facility		$21.92	$31.78	$47.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $48.22 / $66.00	Facility		$21.93	$48.22	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $34.15 / $65.79	Professional		$10.99	$34.15	$65.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.13 / $171.35	Professional		$21.92	$31.13	$171.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $26.96	Professional		$26.52	$26.52	$26.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $14.40 / $39.83	Professional		$9.21	$14.40	$39.83