Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.99 / $236.29	Facility		$19.00	$21.99	$236.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $25.29	Professional		$19.00	$19.19	$25.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $30.40 / $69.73	Facility		$19.00	$30.40	$69.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $21.47	Professional		$19.00	$19.00	$21.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $37.24	Facility		$19.00	$19.00	$37.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $19.00	Facility		$13.34	$13.34	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.00 / $20.01	Professional		$18.01	$19.00	$20.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $26.37 / $202.00	Professional		$26.37	$26.37	$202.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $33.92 / $89.02	Professional		$20.14	$33.92	$89.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.76 / $24.32	Professional		$19.00	$19.76	$24.32