Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $20.80	Facility		$18.60	$18.60	$20.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $20.30 / $24.92	Professional		$12.83	$20.30	$24.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $27.96 / $60.84	Professional		$15.45	$27.96	$60.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $41.13 / $47.01	Facility		$29.38	$41.13	$47.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $39.65 / $68.12	Professional		$29.38	$39.65	$68.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $34.43	Facility		$17.64	$17.64	$34.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $34.40	Professional		$15.00	$15.00	$34.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.38 / $38.92	Professional		$22.39	$29.38	$38.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $1,185.00 / $1,185.00	Facility		$1,185.00	$1,185.00	$1,185.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.32 / $54.35	Professional		$10.00	$36.32	$54.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.65 / $34.04	Professional		$9.77	$14.65	$34.04