Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $56.33 / $89.62	Facility		$34.90	$56.33	$89.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $26.86 / $37.06	Professional		$18.50	$26.86	$37.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $33.92 / $97.81	Facility		$20.39	$33.92	$97.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.96 / $34.36	Professional		$10.47	$13.96	$34.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $39.58 / $60.77	Facility		$18.38	$39.58	$60.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $62.19 / $78.06	Facility		$36.76	$62.19	$78.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $38.90	Professional		$14.86	$14.86	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.10 / $183.00	Professional		$28.27	$31.10	$183.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $162.86 / $190.73	Facility		$35.29	$162.86	$190.73
United Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $17.98 / $34.90	Professional		$14.66	$17.98	$34.90