Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $61.92 / $109.14	Facility		$22.90	$61.92	$109.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $33.04 / $86.39	Professional		$22.90	$33.04	$86.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $43.98 / $119.13	Facility		$24.85	$43.98	$119.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $19.51 / $74.84	Professional		$19.51	$19.51	$74.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $49.92 / $73.98	Facility		$34.43	$49.92	$73.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $60.90 / $106.58	Facility		$34.18	$60.90	$106.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $58.38 / $99.79	Professional		$17.22	$58.38	$99.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $51.87 / $269.29	Professional		$34.43	$51.87	$269.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $43.04 / $63.70	Professional		$34.43	$43.04	$63.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $47.23 / $93.02	Professional		$20.66	$47.23	$93.02