Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $36.08 / $95.20	Facility		$19.97	$36.08	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $27.63 / $53.73	Professional		$19.97	$27.63	$53.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $32.61 / $103.90	Facility		$19.94	$32.61	$103.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $44.08	Professional		$12.01	$12.01	$44.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $43.54 / $64.53	Facility		$30.03	$43.54	$64.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $53.28 / $83.70	Facility		$29.99	$53.28	$83.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $35.90 / $78.38	Professional		$13.72	$35.90	$78.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $42.64 / $233.91	Professional		$30.03	$42.64	$233.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $42.04 / $55.56	Professional		$36.34	$42.04	$55.56
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $16.80 / $54.57	Professional		$12.61	$16.80	$54.57