Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $42.27 / $109.20	Facility		$23.73	$42.27	$109.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $26.22 / $45.00	Professional		$19.66	$26.22	$45.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $35.72 / $113.38	Facility		$21.76	$35.72	$113.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $13.11 / $48.81	Professional		$9.83	$13.11	$48.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $32.77 / $52.43	Facility		$21.07	$32.77	$52.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $72.09 / $75.16	Facility		$32.57	$72.09	$75.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $40.06 / $50.08	Professional		$16.53	$40.06	$50.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $37.69 / $49.37	Professional		$35.81	$37.69	$49.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $328.08 / $413.88	Facility		$273.14	$328.08	$413.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.66 / $32.77	Professional		$13.76	$19.66	$32.77