Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $31.08 / $86.22	Facility		$30.78	$31.08	$86.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $37.61	Professional		$30.78	$30.78	$37.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $49.25 / $112.96	Facility		$30.78	$49.25	$112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $31.39	Professional		$30.78	$30.78	$31.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $60.33	Facility		$30.78	$30.78	$60.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $30.78	Facility		$29.03	$29.03	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.02	Professional		$30.78	$30.78	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $39.51 / $90.00	Professional		$30.39	$39.51	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $52.32 / $74.80	Professional		$29.24	$52.32	$74.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.46 / $38.20	Professional		$30.78	$32.46	$38.20