Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $39.71 / $105.37	Facility		$23.22	$39.71	$105.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $24.15 / $40.00	Professional		$22.00	$24.15	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $27.06 / $85.18	Facility		$23.21	$27.06	$85.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $20.90 / $20.90	Professional		$19.80	$20.90	$20.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $23.22 / $45.51	Facility		$23.22	$23.22	$45.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $21.81 / $24.59	Professional		$14.93	$21.81	$24.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $139.05 / $203.17	Facility		$45.60	$139.05	$203.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $25.04 / $26.09	Professional		$20.87	$25.04	$26.09