Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.43	Professional		$19.48	$19.48	$21.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.86	Professional		$19.48	$19.48	$19.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $38.18	Facility		$19.48	$19.48	$38.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $19.48	Facility		$18.38	$18.38	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.81	Professional		$19.48	$19.48	$24.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $29.33 / $64.00	Professional		$25.50	$29.33	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $31.16	Professional		$20.65	$20.65	$31.16
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $29.80	Professional		$19.48	$19.48	$29.80