Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $55.64	Facility		$23.42	$23.42	$55.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $26.32 / $34.08	Professional		$22.18	$26.32	$34.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $69.05 / $181.00	Facility		$49.32	$69.05	$181.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $41.00 / $78.72	Professional		$26.27	$41.00	$78.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $41.92 / $91.24	Facility		$40.69	$41.92	$91.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Professional		$41.92	$41.92	$41.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $57.00	Professional		$19.98	$27.38	$57.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $49.32 / $68.87	Professional		$23.06	$49.32	$68.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $85.53 / $93.07	Professional		$83.84	$85.53	$93.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $24.60 / $40.63	Professional		$16.39	$24.60	$40.63