Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.28 / $78.59	Facility		$5.01	$10.28	$78.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $4.74 / $6.41	Professional		$3.70	$4.74	$6.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $7.12 / $19.27	Facility		$4.01	$7.12	$19.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.75 / $11.19	Professional		$2.06	$2.75	$11.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $5.57 / $8.91	Facility		$3.62	$5.57	$8.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $5.57	Professional		$3.62	$3.62	$5.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $12.25 / $17.14	Facility		$5.48	$12.25	$17.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $6.61 / $8.26	Professional		$3.51	$6.61	$8.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.24 / $20.05	Professional		$6.09	$7.24	$20.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $105.63 / $129.87	Facility		$87.95	$105.63	$129.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.08 / $7.80	Professional		$2.50	$4.08	$7.80