Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Facility		$17.86	$17.86	$17.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $20.39 / $28.49	Professional		$16.53	$20.39	$28.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $67.64 / $67.64	Professional		$22.28	$67.64	$67.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $73.53 / $114.68	Facility		$73.53	$73.53	$114.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $41.97 / $98.00	Professional		$24.60	$41.97	$98.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $34.08 / $38.78	Professional		$34.08	$34.08	$38.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.19 / $36.92	Professional		$12.97	$20.19	$36.92