Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $54.60	Facility		$22.39	$22.39	$54.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $24.57 / $56.09	Professional		$16.00	$24.57	$56.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $36.06 / $66.36	Professional		$23.37	$36.06	$66.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $43.68 / $53.28	Facility		$31.69	$43.68	$53.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $33.97 / $43.43	Professional		$31.71	$33.97	$43.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $65.00 / $80.00	Facility		$33.29	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $41.28 / $111.17	Professional		$19.12	$41.28	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $40.56 / $66.48	Professional		$27.64	$40.56	$66.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $35.60 / $54.48	Professional		$23.40	$35.60	$54.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $33.71 / $46.06	Professional		$24.67	$33.71	$46.06