Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.95	Professional		$10.00	$12.02	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $40.74 / $54.95	Professional		$16.22	$40.74	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $33.88	Facility		$28.18	$28.18	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Professional		$20.42	$20.42	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $67.61	Professional		$19.05	$23.44	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Professional		$24.55	$24.55	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $17.78	Facility		$10.00	$14.13	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.13 / $26.30	Professional		$9.33	$14.13	$26.30