Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $13.24	Facility		$12.86	$12.86	$13.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $15.93	Professional		$12.86	$12.86	$15.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.11	Professional		$12.86	$12.86	$13.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $25.21	Facility		$12.86	$12.86	$25.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.86	Facility		$12.13	$12.13	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.38	Professional		$12.86	$12.86	$16.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $23.00	Professional		$15.15	$15.15	$23.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $23.79 / $239.19	Professional		$21.86	$23.79	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.41	Professional		$12.86	$12.86	$16.41