Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $14.61 / $141.44	Facility		$4.96	$14.61	$141.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.62 / $7.51	Professional		$3.44	$4.62	$7.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $6.62 / $16.98	Facility		$3.83	$6.62	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $3.83 / $10.86	Professional		$1.92	$3.83	$10.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.18 / $8.28	Facility		$3.37	$5.18	$8.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $5.18	Professional		$3.37	$3.37	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.40 / $16.34	Facility		$5.16	$11.40	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.85 / $7.75	Professional		$2.59	$5.85	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.80 / $18.05	Professional		$5.96	$7.80	$18.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.90 / $1,274.00 / $1,640.13	Facility		$1,261.90	$1,274.00	$1,640.13
United Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Facility		$4.66	$4.66	$4.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $7.10 / $8.68	Professional		$3.11	$7.10	$8.68