Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $29.16 / $69.27	Facility		$29.16	$29.16	$69.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.39 / $49.88	Professional		$25.34	$30.39	$49.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $85.97 / $225.37	Facility		$61.41	$85.97	$225.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $51.06 / $98.04	Professional		$29.46	$51.06	$98.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $53.18 / $113.61	Facility		$44.18	$53.18	$113.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $52.20 / $52.20	Professional		$52.20	$52.20	$52.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $60.38	Professional		$23.30	$31.92	$60.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $61.41 / $85.65	Professional		$46.67	$61.41	$85.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $76.76 / $78.30	Professional		$75.92	$76.76	$78.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.56 / $50.53	Professional		$20.42	$29.56	$50.53