Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $30.61 / $87.42	Facility		$30.61	$30.61	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $35.20	Professional		$29.50	$30.61	$35.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $53.02 / $119.53	Facility		$32.57	$53.02	$119.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.57 / $35.04	Professional		$30.73	$32.57	$35.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $37.46 / $95.87	Facility		$11.14	$37.46	$95.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Professional		$11.14	$11.14	$11.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $31.35 / $78.84	Professional		$17.42	$31.35	$78.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $32.40 / $73.70	Professional		$27.40	$32.40	$73.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.40 / $37.61	Professional		$30.73	$32.40	$37.61