Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $65.75	Facility		$27.68	$27.68	$65.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.96 / $52.45	Professional		$27.68	$34.96	$52.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $81.61 / $213.92	Facility		$58.29	$81.61	$213.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $48.47 / $93.06	Professional		$31.08	$48.47	$93.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $58.29 / $114.25	Facility		$49.55	$58.29	$114.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $49.55 / $49.55	Professional		$49.55	$49.55	$49.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $77.95	Professional		$28.16	$28.16	$77.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $58.29 / $87.87	Professional		$44.30	$58.29	$87.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.86 / $74.31	Professional		$72.06	$72.86	$74.31
United Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $26.40 / $33.65	Facility		$18.28	$26.40	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $29.08 / $56.92	Professional		$19.39	$29.08	$56.92