Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.84 / $26.55	Facility		$0.88	$1.84	$26.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $2.23	Professional		$0.88	$0.88	$2.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.41 / $3.23	Facility		$0.88	$1.41	$3.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.98	Professional		$0.88	$0.88	$0.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $1.72	Facility		$0.88	$0.88	$1.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.88	Facility		$0.83	$0.83	$0.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.42	Professional		$0.88	$0.88	$1.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $4.83 / $19.00	Professional		$1.42	$4.83	$19.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.63 / $36.79	Professional		$0.89	$1.63	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.92 / $1.12	Professional		$0.88	$0.92	$1.12