Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $27.08 / $64.31	Facility		$27.08	$27.08	$64.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $30.42 / $45.29	Professional		$25.65	$30.42	$45.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $79.81 / $209.23	Facility		$57.01	$79.81	$209.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $47.41 / $91.03	Professional		$30.35	$47.41	$91.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $48.46 / $105.47	Facility		$47.04	$48.46	$105.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Professional		$48.46	$48.46	$48.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $65.63	Professional		$24.25	$33.22	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $57.01 / $79.50	Professional		$43.33	$57.01	$79.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $98.86 / $107.58	Professional		$96.92	$98.86	$107.58
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $28.45 / $46.92	Professional		$18.96	$28.45	$46.92