Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.00 / $34.50	Professional		$28.91	$30.00	$34.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $30.00 / $32.54	Facility		$8.17	$30.00	$32.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $34.33 / $34.33	Professional		$30.00	$34.33	$34.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $31.62 / $44.27	Facility		$30.72	$31.62	$44.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $85.00	Facility		$30.72	$30.72	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $30.72 / $44.68	Professional		$23.49	$30.72	$44.68
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 Facility Modifier Low / Median / High Price $38.31 / $99.39 / $99.39	Facility		$38.31	$99.39	$99.39
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.36 / $37.33	Professional		$30.00	$30.36	$37.33