Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $90.86 / $251.10	Facility		$34.86	$90.86	$251.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $37.36 / $68.38	Professional		$31.83	$37.36	$68.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $43.55 / $46.71	Facility		$37.02	$43.55	$46.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $41.12 / $41.12	Professional		$32.89	$41.12	$41.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $73.25	Facility		$37.36	$37.36	$73.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $47.32	Facility		$35.25	$35.25	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $27.02 / $36.83	Professional		$25.67	$27.02	$36.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $1,261.90 / $1,750.00	Facility		$503.75	$1,261.90	$1,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $49.16 / $52.81	Professional		$42.25	$49.16	$52.81