Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $83.03 / $111.02	Facility		$21.69	$83.03	$111.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $24.73 / $48.38	Professional		$17.48	$24.73	$48.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $29.29 / $93.00	Facility		$17.85	$29.29	$93.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $43.05	Professional		$10.75	$10.75	$43.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $38.97 / $57.76	Facility		$26.88	$38.97	$57.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $53.28 / $74.31	Facility		$26.77	$53.28	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $35.65 / $70.16	Professional		$12.37	$35.65	$70.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $38.17 / $209.39	Professional		$26.88	$38.17	$209.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $33.06 / $47.98	Professional		$26.15	$33.06	$47.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $48.84	Professional		$11.29	$16.13	$48.84