Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $362.70 / $764.40	Facility		$14.73	$362.70	$764.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.17 / $230.40	Professional		$14.73	$15.17	$230.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $15.98 / $15.98	Facility		$14.73	$15.98	$15.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.97 / $14.73	Professional		$13.23	$13.97	$14.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $28.87	Facility		$14.73	$14.73	$28.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $14.73	Facility		$13.90	$13.90	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.37	Professional		$14.73	$14.73	$17.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.00 / $29.40	Professional		$14.70	$18.00	$29.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.64 / $27.25	Professional		$14.73	$15.64	$27.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.04	Professional		$14.73	$14.73	$17.04