Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $34.67	Facility		$14.13	$16.22	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $77.62	Facility		$14.13	$23.44	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $14.13	Facility		$13.49	$13.49	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $28.84	Professional		$14.13	$16.22	$28.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $30.20	Professional		$14.13	$15.85	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.92 / $38.02	Facility		$13.80	$26.92	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.79 / $17.78	Professional		$13.80	$14.79	$17.78