Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $29.92 / $184.88	Facility		$26.51	$29.92	$184.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $34.40	Professional		$26.51	$26.51	$34.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $42.42 / $97.29	Facility		$26.51	$42.42	$97.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $28.63	Professional		$26.51	$26.51	$28.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $51.96	Facility		$26.51	$26.51	$51.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $26.51	Facility		$20.83	$20.83	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $29.16	Professional		$26.51	$26.51	$29.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $181.00	Professional		$36.78	$36.78	$181.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $36.58 / $97.90	Professional		$26.51	$36.58	$97.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $36.40	Professional		$26.51	$28.10	$36.40