Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $270.75 / $813.40	Facility		$36.85	$270.75	$813.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.76 / $3.70	Professional		$1.74	$1.76	$3.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.89 / $1.89	Facility		$1.74	$1.89	$1.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.73 / $1.76	Professional		$1.64	$1.73	$1.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $3.41	Facility		$1.74	$1.74	$3.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $4.03	Professional		$4.03	$4.03	$4.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.74	Facility		$1.64	$1.64	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.22	Professional		$1.74	$1.74	$2.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.31 / $16.00	Professional		$1.82	$2.31	$16.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.89 / $3.22	Professional		$1.74	$1.89	$3.22
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.30	Professional		$1.74	$1.74	$4.30