Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $29.29 / $57.22	Facility		$12.00	$29.29	$57.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.61 / $24.78	Professional		$12.00	$16.61	$24.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $21.30 / $62.45	Facility		$13.03	$21.30	$62.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.86 / $29.73	Professional		$5.89	$7.86	$29.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $18.05 / $28.88	Facility		$11.73	$18.05	$28.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $18.05	Professional		$11.73	$11.73	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $39.71 / $55.37	Facility		$14.64	$39.71	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $24.85	Professional		$9.49	$9.49	$24.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.86 / $65.90	Professional		$18.05	$19.86	$65.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.61 / $22.22	Professional		$8.11	$11.61	$22.22