Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $14.31 / $33.20	Facility		$14.08	$14.31	$33.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.31 / $16.76	Professional		$14.08	$14.31	$16.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $22.90 / $52.52	Facility		$14.31	$22.90	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.59	Professional		$14.31	$14.31	$14.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $28.05	Facility		$14.31	$14.31	$28.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $14.31	Facility		$13.50	$13.50	$14.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.88	Professional		$14.31	$14.31	$16.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $15.37 / $28.97	Professional		$13.97	$15.37	$28.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $24.33 / $29.48	Professional		$15.03	$24.33	$29.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.88 / $17.89	Professional		$14.31	$14.88	$17.89