Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $29.60 / $70.04	Facility		$23.88	$29.60	$70.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $35.82	Professional		$23.88	$24.12	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $38.21 / $87.64	Facility		$23.88	$38.21	$87.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $26.29	Professional		$23.88	$23.88	$26.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $46.80	Facility		$23.88	$23.88	$46.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $23.88	Facility		$22.53	$22.53	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $51.77	Professional		$23.88	$23.88	$51.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $66.90 / $137.41	Professional		$27.81	$66.90	$137.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $47.32 / $66.20	Professional		$25.31	$47.32	$66.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $31.79	Professional		$23.88	$25.31	$31.79