Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $13.26 / $145.00	Facility		$7.91	$13.26	$145.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $14.22 / $18.36 / $18.36	Facility	CQ	$14.22	$18.36	$18.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.91 / $19.38	Professional		$7.91	$10.91	$19.38
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $21.39 / $30.10	Professional	CQ	$21.39	$21.39	$30.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $14.31 / $23.70	Professional		$8.65	$14.31	$23.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $15.46 / $18.67	Facility		$11.17	$15.46	$18.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $12.09 / $15.32	Professional		$11.05	$12.09	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $65.00 / $80.00	Facility		$11.67	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $15.15 / $32.93	Professional		$6.23	$15.15	$32.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $14.35 / $78.37	Professional		$9.69	$14.35	$78.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.52 / $19.37	Professional		$8.27	$11.52	$19.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.62 / $20.55	Professional		$10.28	$12.62	$20.55