Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $16.96 / $22.14	Professional		$13.73	$16.96	$22.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $24.46 / $55.04	Professional		$15.52	$24.46	$55.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $36.53 / $42.62	Facility		$25.19	$36.53	$42.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $34.01 / $58.40	Professional		$25.19	$34.01	$58.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $17.75 / $29.35	Facility		$17.75	$17.75	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $35.63	Professional		$15.09	$15.09	$35.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $44.79	Professional		$25.19	$25.19	$44.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $1,720.82 / $2,164.00	Facility		$1,663.61	$1,720.82	$2,164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $23.80 / $47.86	Professional		$21.60	$23.80	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.22 / $29.20	Professional		$8.81	$13.22	$29.20