Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $48.63 / $129.02	Facility		$27.07	$48.63	$129.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $37.85 / $53.22	Professional		$27.07	$37.85	$53.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $44.19 / $140.82	Facility		$27.02	$44.19	$140.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $16.28 / $60.71	Professional		$16.28	$16.28	$60.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $59.02 / $87.47	Facility		$40.70	$59.02	$87.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $66.15 / $112.86	Facility		$40.63	$66.15	$112.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $47.82 / $106.23	Professional		$18.32	$47.82	$106.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $61.32 / $318.18	Professional		$40.70	$61.32	$318.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $50.88 / $75.30	Professional		$40.70	$50.88	$75.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $40.70 / $107.72	Professional		$24.42	$40.70	$107.72