Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.49	Facility		$15.14	$15.14	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $19.95	Professional		$9.12	$15.14	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $33.11	Professional		$15.14	$16.60	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $26.92	Professional		$16.60	$23.44	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $20.42	Professional		$16.22	$16.22	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $41.69 / $60.26	Professional		$19.05	$41.69	$60.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,621.81 / $3,715.35	Facility		$602.56	$1,621.81	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $22.91	Professional		$7.94	$12.88	$22.91