Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $52.78 / $379.80	Facility		$1.49	$52.78	$379.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.41 / $1.80	Professional		$1.39	$1.41	$1.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.51 / $1.51	Facility		$1.39	$1.51	$1.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.47	Professional		$1.39	$1.39	$1.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $2.74	Facility		$1.39	$1.39	$2.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.39	Facility		$1.31	$1.31	$1.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $8.18 / $8.18	Professional		$1.80	$8.18	$8.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.22 / $1,663.61 / $2,164.00	Facility		$1,555.22	$1,663.61	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $5.29	Professional		$1.39	$1.39	$5.29