Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $21.86 / $61.83	Facility		$18.68	$21.86	$61.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.68 / $34.82	Professional		$18.67	$18.68	$34.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $21.49 / $76.63	Facility		$20.01	$21.49	$76.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $20.00 / $20.00	Professional		$19.28	$20.00	$20.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $19.23 / $37.70	Facility		$18.68	$19.23	$37.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $50.00 / $51.00	Professional		$17.84	$50.00	$51.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $24.74 / $150.00	Facility		$22.20	$24.74	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $26.10	Professional		$20.88	$21.98	$26.10