Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $51.23 / $694.86	Facility		$23.50	$51.23	$694.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.20 / $31.73	Professional		$23.50	$25.20	$31.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $27.34 / $41.18	Facility		$25.20	$27.34	$41.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.76	Professional		$25.20	$25.20	$26.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $49.39	Facility		$25.20	$25.20	$49.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $25.20	Facility		$23.78	$23.78	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $32.10	Professional		$25.20	$25.20	$32.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $34.14 / $64.20	Professional		$25.07	$34.14	$64.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $42.23 / $59.60	Professional		$25.20	$42.23	$59.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $33.54	Professional		$25.20	$26.71	$33.54