Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $51.84 / $147.60	Facility		$15.36	$51.84	$147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.05 / $28.68	Professional		$10.46	$14.05	$28.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $18.27 / $50.36	Facility		$11.94	$18.27	$50.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $9.92 / $26.07	Professional		$4.95	$9.92	$26.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $16.53 / $26.45	Facility		$10.74	$16.53	$26.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $16.53	Professional		$10.74	$10.74	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $36.36 / $51.21	Facility		$15.11	$36.36	$51.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $19.00 / $25.30	Professional		$7.45	$19.00	$25.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $24.90 / $41.84	Professional		$16.53	$24.90	$41.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,388.26 / $1,663.61 / $2,164.00	Facility		$1,388.26	$1,663.61	$2,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Facility		$14.88	$14.88	$14.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $16.75 / $19.89	Professional		$9.92	$16.75	$19.89