Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.40 / $47.63	Facility		$32.15	$32.40	$47.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $38.56	Professional		$32.15	$32.15	$38.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $51.44 / $117.99	Facility		$32.15	$51.44	$117.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.79	Professional		$32.15	$32.15	$32.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $51.84	Facility		$32.15	$32.15	$51.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.40 / $51.44	Professional		$32.15	$32.40	$51.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $32.15	Facility		$30.33	$30.33	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $37.14	Professional		$32.15	$32.15	$37.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $42.19 / $137.00	Professional		$32.45	$42.19	$137.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $70.90	Professional		$27.40	$27.40	$70.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $39.15	Professional		$32.15	$32.15	$39.15