Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $44.49	Facility		$28.52	$28.52	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $34.51	Professional		$28.52	$28.52	$34.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $45.63 / $104.67	Facility		$28.52	$45.63	$104.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $29.09	Professional		$28.52	$28.52	$29.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $55.90	Facility		$28.52	$28.52	$55.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $28.52	Facility		$26.90	$26.90	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $36.32	Professional		$28.52	$28.52	$36.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $57.09	Professional		$32.61	$32.61	$57.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $45.63 / $58.77	Professional		$27.40	$45.63	$58.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.66 / $36.51	Professional		$28.52	$29.66	$36.51