Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $33.63	Facility		$12.54	$12.54	$33.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $16.62 / $23.50	Professional		$12.54	$16.62	$23.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $41.75 / $109.44	Facility		$29.82	$41.75	$109.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $24.02 / $56.72	Professional		$4.32	$24.02	$56.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $41.75 / $58.45	Facility		$25.35	$41.75	$58.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $25.35 / $34.29	Professional		$25.35	$25.35	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $34.50	Professional		$16.12	$16.12	$34.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $29.82 / $47.71	Professional		$18.79	$29.82	$47.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $42.50 / $58.70	Professional		$37.00	$42.50	$58.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $14.87 / $25.80	Professional		$9.92	$14.87	$25.80