Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $36.11 / $47.00	Professional		$26.77	$36.11	$47.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $43.34 / $43.34	Facility		$43.34	$43.34	$43.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $46.76 / $74.48	Professional		$30.63	$46.76	$74.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $62.84 / $69.34	Facility		$43.34	$62.84	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.34 / $69.34	Professional		$34.67	$43.34	$69.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $47.73 / $203.05	Professional		$39.01	$47.73	$203.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $20.72 / $32.57	Professional		$14.42	$20.72	$32.57