Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $21.83 / $79.06	Facility		$8.13	$21.83	$79.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $11.36 / $22.36	Professional		$7.33	$11.36	$22.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $15.61 / $40.15	Facility		$9.05	$15.61	$40.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.70 / $26.64	Professional		$6.03	$10.70	$26.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $17.11 / $26.27	Facility		$12.22	$17.11	$26.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.66 / $15.89	Professional		$12.22	$14.66	$15.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $26.88 / $38.39	Facility		$12.25	$26.88	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.08 / $46.91	Professional		$6.13	$11.08	$46.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $17.35 / $95.20	Professional		$12.22	$17.35	$95.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,164.00 / $2,164.00 / $2,164.00	Facility		$2,164.00	$2,164.00	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.92 / $22.20	Professional		$5.13	$8.92	$22.20