Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $42.10 / $168.66	Facility		$7.83	$42.10	$168.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.60 / $6.28	Professional		$5.19	$5.60	$6.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $6.08 / $6.08	Facility		$5.60	$6.08	$6.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.60 / $5.71	Professional		$4.57	$5.60	$5.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $11.01	Facility		$5.60	$5.60	$11.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $5.60	Facility		$5.28	$5.28	$5.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $18.45 / $18.45	Professional		$3.75	$18.45	$18.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.11 / $2,178.87 / $2,500.00	Facility		$1,716.11	$2,178.87	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $11.95	Professional		$5.60	$5.60	$11.95