Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $45.59 / $106.10	Facility		$22.26	$45.59	$106.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $29.20 / $57.40	Professional		$22.26	$29.20	$57.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $36.82 / $115.81	Facility		$23.61	$36.82	$115.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $56.11	Professional		$14.22	$14.22	$56.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $48.53 / $71.95	Facility		$33.47	$48.53	$71.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $59.11 / $93.11	Facility		$33.22	$59.11	$93.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $44.98 / $91.71	Professional		$15.43	$44.98	$91.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $50.43 / $261.08	Professional		$33.47	$50.43	$261.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $41.84 / $61.92	Professional		$33.47	$41.84	$61.92
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $34.42 / $80.12	Professional		$20.07	$34.42	$80.12