Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $212.74	Facility		$27.99	$28.62	$212.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $41.56	Professional		$27.99	$28.27	$41.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $45.57 / $102.72	Facility		$27.99	$45.57	$102.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $28.62	Professional		$27.99	$27.99	$28.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $45.79	Facility		$27.99	$27.99	$45.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $44.78	Professional		$27.99	$28.62	$44.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.33 / $27.99	Facility		$22.33	$22.33	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $27.99 / $30.14	Professional		$26.79	$27.99	$30.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $228.00	Professional		$18.97	$18.97	$228.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $32.19 / $59.60	Professional		$11.32	$32.19	$59.60
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.52 / $37.26	Professional		$27.99	$29.52	$37.26