Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $43.34 / $749.59	Facility		$1.42	$43.34	$749.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.12	Professional		$1.42	$1.42	$2.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.54 / $1.54	Facility		$1.42	$1.54	$1.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.39 / $1.42	Professional		$1.31	$1.39	$1.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $2.80	Facility		$1.42	$1.42	$2.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.41	Facility		$1.33	$1.33	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.80	Professional		$1.41	$1.41	$1.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.80 / $12.00	Professional		$1.46	$1.80	$12.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $837.69 / $970.63	Facility		$204.96	$837.69	$970.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.50 / $2.62	Professional		$1.42	$1.50	$2.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.17	Professional		$1.42	$1.42	$2.17