Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $21.88	Professional		$14.13	$16.98	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $35.48	Professional		$15.49	$22.39	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $38.02	Professional		$15.49	$20.89	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $114.82	Professional		$17.78	$23.44	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $40.74	Professional		$17.78	$28.18	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $32.36	Professional		$14.13	$18.62	$32.36