Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Facility		$23.81	$23.81	$23.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $23.81 / $24.39	Professional		$22.95	$23.81	$24.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $28.43 / $28.69	Professional		$27.26	$28.43	$28.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $25.10 / $25.10	Facility		$24.39	$25.10	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $61.00	Professional		$24.39	$24.39	$61.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $31.29 / $239.19	Professional		$28.75	$31.29	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $34.69	Professional		$28.69	$28.69	$34.69