Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $37.85 / $87.04	Facility		$37.85	$37.85	$87.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $43.53	Professional		$36.47	$37.85	$43.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.23 / $41.23	Facility		$38.00	$41.23	$41.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.28 / $43.32	Professional		$38.00	$40.28	$43.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $39.90 / $55.86	Facility		$38.76	$39.90	$55.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $56.20 / $148.00	Professional		$38.76	$56.20	$148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $46.32 / $70.13	Professional		$27.40	$46.32	$70.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.07 / $46.52	Professional		$38.00	$40.07	$46.52