Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $27.66 / $68.70	Facility		$27.66	$27.66	$68.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $35.90 / $65.70	Professional		$27.66	$35.90	$65.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $81.52 / $213.70	Facility		$58.23	$81.52	$213.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $48.42 / $92.97	Professional		$31.90	$48.42	$92.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $61.23 / $107.73	Facility		$47.09	$61.23	$107.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Professional		$49.50	$49.50	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $72.58	Professional		$26.73	$36.61	$72.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $58.23 / $145.00	Professional		$44.25	$58.23	$145.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $98.99 / $109.87	Professional		$72.00	$98.99	$109.87
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $29.05 / $47.94	Professional		$19.37	$29.05	$47.94