Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $74.13	Facility		$19.95	$38.02	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $42.66	Professional		$14.13	$19.95	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $34.67	Facility		$14.13	$27.54	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $45.71	Professional		$10.00	$24.55	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $66.07	Facility		$21.88	$43.65	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $29.51 / $60.26	Professional		$10.96	$29.51	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $169.82	Professional		$19.95	$30.90	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $24.55	Facility		$16.98	$19.95	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $31.62	Professional		$9.12	$14.13	$31.62