Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $159.33 / $6,267.89	Facility		$23.93	$159.33	$6,267.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $28.96	Professional		$23.93	$25.77	$28.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $41.95 / $94.58	Facility		$25.77	$41.95	$94.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $26.28	Professional		$25.77	$25.77	$26.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $41.23	Facility		$25.77	$25.77	$41.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $41.23	Professional		$23.93	$25.77	$41.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $25.77	Facility		$20.23	$20.23	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $25.77 / $27.33	Professional		$24.29	$25.77	$27.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $131.91	Professional		$23.00	$23.00	$131.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $43.80 / $113.80	Professional		$25.80	$43.80	$113.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.80 / $34.29	Professional		$25.77	$26.80	$34.29