Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $43.45	Facility		$18.29	$18.29	$43.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.54 / $26.62	Professional		$17.32	$20.54	$26.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $53.91 / $141.33	Facility		$38.51	$53.91	$141.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $32.03 / $61.50	Professional		$20.03	$32.03	$61.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $32.72 / $71.23	Facility		$31.76	$32.72	$71.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $32.72 / $32.72	Professional		$32.72	$32.72	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $44.25	Professional		$15.61	$21.38	$44.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $38.51 / $53.46	Professional		$14.28	$38.51	$53.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $66.78 / $72.67	Professional		$65.47	$66.78	$72.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $19.22 / $31.71	Professional		$12.81	$19.22	$31.71