Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.28 / $48.62	Professional		$40.75	$42.28	$48.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $65.98 / $148.75	Facility		$40.53	$65.98	$148.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $41.34	Professional		$40.53	$40.53	$41.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Professional		$29.99	$29.99	$29.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $43.30	Facility		$28.87	$28.87	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $46.63 / $84.45	Professional		$37.77	$46.63	$84.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $42.74 / $50.82	Professional		$40.53	$42.74	$50.82