Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $57.91 / $110.35	Facility		$23.15	$57.91	$110.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $33.42 / $66.04	Professional		$23.15	$33.42	$66.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $44.17 / $120.44	Facility		$25.13	$44.17	$120.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $69.81	Professional		$18.20	$18.20	$69.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $50.47 / $74.81	Facility		$34.81	$50.47	$74.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $61.50 / $100.50	Facility		$34.83	$61.50	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $54.53 / $97.22	Professional		$17.42	$54.53	$97.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $52.44 / $271.94	Professional		$34.81	$52.44	$271.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $43.51 / $64.40	Professional		$34.81	$43.51	$64.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.07 / $92.13	Professional		$20.89	$44.07	$92.13