Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $23.49 / $55.79	Facility		$23.49	$23.49	$55.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $29.67 / $38.61	Professional		$23.49	$29.67	$38.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $69.23 / $181.52	Facility		$49.46	$69.23	$181.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $41.12 / $78.95	Professional		$26.37	$41.12	$78.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $56.05 / $91.50	Facility		$42.04	$56.05	$91.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Professional		$42.04	$42.04	$42.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $66.31	Professional		$22.56	$30.91	$66.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $49.46 / $74.69	Professional		$37.59	$49.46	$74.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $61.83 / $63.06	Professional		$61.15	$61.83	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $24.67 / $40.71	Professional		$16.45	$24.67	$40.71