Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.00 / $21.73	Professional		$15.39	$20.00	$21.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Facility		$24.81	$24.81	$24.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $26.54 / $42.64	Professional		$17.54	$26.54	$42.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $35.97 / $39.70	Facility		$24.81	$35.97	$39.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Professional		$11.24	$11.24	$11.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $24.81 / $39.70	Professional		$19.85	$24.81	$39.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $27.33 / $116.23	Professional		$22.78	$27.33	$116.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $11.69 / $20.44	Professional		$8.26	$11.69	$20.44