Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $42.19 / $111.24	Facility		$23.33	$42.19	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $32.28 / $40.35	Professional		$23.33	$32.28	$40.35
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 / $59.03	Professional		$17.32	$17.32	$59.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $50.88 / $75.41	Facility		$35.09	$50.88	$75.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $66.00 / $109.48	Facility		$34.83	$66.00	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.00 / $109.92	Professional		$17.55	$32.00	$109.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.91 / $274.68	Professional		$31.58	$42.91	$274.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.16 / $62.64	Professional		$34.14	$43.16	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43