Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $63.44 / $76.33	Facility		$16.01	$63.44	$76.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $19.26 / $27.69	Professional		$16.01	$19.26	$27.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.90 / $83.32	Facility		$17.38	$28.90	$83.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.89 / $47.24	Professional		$8.91	$11.89	$47.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $24.08 / $38.53	Facility		$15.65	$24.08	$38.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $24.08	Professional		$15.65	$15.65	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $52.98 / $74.20	Facility		$29.02	$52.98	$74.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $33.29	Professional		$12.66	$12.66	$33.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $26.49 / $316.00	Professional		$24.08	$26.49	$316.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $39.72 / $47.73	Facility		$23.31	$39.72	$47.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $16.52 / $33.03	Professional		$13.87	$16.52	$33.03