Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $26.41 / $62.04	Facility		$13.01	$26.41	$62.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $15.26 / $18.59	Professional		$11.74	$15.26	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $21.53 / $67.70	Facility		$13.00	$21.53	$67.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $7.83 / $27.39	Professional		$5.87	$7.83	$27.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $19.57 / $31.31	Facility		$12.72	$19.57	$31.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $19.57	Professional		$12.72	$12.72	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $43.05 / $54.56	Facility		$12.62	$43.05	$54.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $27.19	Professional		$10.29	$10.29	$27.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $21.53 / $83.00	Professional		$19.57	$21.53	$83.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $243.62 / $243.62 / $243.62	Facility		$243.62	$243.62	$243.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.58 / $19.96	Professional		$8.22	$11.58	$19.96