Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $47.81 / $294.00	Facility		$17.89	$47.81	$294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $25.03 / $78.28	Professional		$17.89	$25.03	$78.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $29.33 / $93.11	Facility		$17.86	$29.33	$93.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $43.08	Professional		$10.76	$10.76	$43.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $39.02 / $57.84	Facility		$26.91	$39.02	$57.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $50.46 / $74.31	Facility		$26.77	$50.46	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $34.17 / $74.55	Professional		$12.33	$34.17	$74.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $40.54 / $209.39	Professional		$26.91	$40.54	$209.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $33.64 / $49.78	Professional		$26.91	$33.64	$49.78
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $26.91 / $72.76	Professional		$16.14	$26.91	$72.76