Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $21.70 / $129.69	Facility		$19.76	$21.70	$129.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.70 / $26.04	Professional		$19.76	$21.70	$26.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $34.72 / $79.64	Facility		$21.70	$34.72	$79.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.43	Professional		$21.70	$21.70	$23.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $42.53	Facility		$21.70	$21.70	$42.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $21.70	Facility		$20.47	$20.47	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $27.64	Professional		$21.70	$21.70	$27.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $32.56 / $68.41	Professional		$23.52	$32.56	$68.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $36.89 / $48.70	Professional		$23.00	$36.89	$48.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.88 / $28.88	Professional		$21.70	$22.88	$28.88