Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.78 / $54.95	Facility		$12.88	$17.78	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $19.95	Professional		$12.88	$15.14	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $25.70	Facility		$14.79	$21.38	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $26.30	Professional		$7.76	$7.76	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $19.50	Professional		$12.59	$12.59	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.90 / $60.26	Facility		$21.88	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $26.92	Professional		$10.23	$10.23	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $114.82	Professional		$19.50	$21.38	$114.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $467.74	Facility		$245.47	$436.52	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.78 / $19.50	Facility		$8.71	$17.78	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $28.18	Professional		$8.13	$11.48	$28.18