Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $42.41 / $82.53	Facility		$19.01	$42.41	$82.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.04 / $35.82	Professional		$13.33	$18.04	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $25.61 / $69.37	Facility		$14.47	$25.61	$69.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $42.45	Professional		$9.90	$9.90	$42.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $28.07 / $43.11	Facility		$20.05	$28.07	$43.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.06 / $26.07	Professional		$20.05	$24.06	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $44.11 / $62.92	Facility		$19.98	$44.11	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $24.19 / $59.98	Professional		$10.02	$24.19	$59.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.47 / $155.03	Professional		$20.05	$28.47	$155.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $486.80 / $584.75 / $668.32	Facility		$486.80	$584.75	$668.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $24.66 / $35.79	Professional		$19.51	$24.66	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.64 / $36.43	Professional		$8.42	$14.64	$36.43