Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $91.00 / $241.80	Facility		$0.32	$91.00	$241.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $53.62 / $137.03	Professional		$0.28	$53.62	$137.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.30 / $0.30	Facility		$0.28	$0.30	$0.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.27 / $0.28	Professional		$0.25	$0.27	$0.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.55	Facility		$0.28	$0.28	$0.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.27	Facility		$0.26	$0.26	$0.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.35	Professional		$0.27	$0.27	$0.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.43 / $4.00	Professional		$0.28	$0.43	$4.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.16 / $702.34 / $909.85	Facility		$616.16	$702.34	$909.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.51	Professional		$0.28	$0.28	$0.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.43	Professional		$0.28	$0.28	$0.43