Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $113.87	Facility		$35.90	$35.90	$113.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $37.36 / $46.06	Facility		$17.32	$37.36	$46.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.37 / $44.40	Professional		$11.49	$14.37	$44.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $53.88 / $77.20	Facility		$35.92	$53.88	$77.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $79.02 / $113.16	Facility		$53.67	$79.02	$113.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $89.08 / $104.53	Professional		$35.90	$89.08	$104.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $84.80 / $280.14	Professional		$35.92	$84.80	$280.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $48.13 / $64.12	Professional		$35.92	$48.13	$64.12
United Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $32.33 / $32.33	Facility		$32.33	$32.33	$32.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $21.55 / $62.88	Professional		$15.08	$21.55	$62.88