Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $33.11	Professional		$16.98	$20.89	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $45.71	Professional		$26.30	$41.69	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Facility		$30.20	$30.20	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $104.71	Professional		$31.62	$38.02	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Professional		$40.74	$40.74	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.91 / $28.84	Facility		$16.60	$22.91	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $42.66	Professional		$15.14	$22.91	$42.66