Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $503.04 / $951.41	Facility		$3.22	$503.04	$951.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.31 / $5.89	Professional		$3.22	$3.31	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $3.49 / $5.64	Facility		$1.05	$3.49	$5.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.28	Professional		$3.22	$3.22	$3.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $6.33	Facility		$3.22	$3.22	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.22	Facility		$3.04	$3.04	$3.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.09 / $4.58	Professional		$3.33	$4.09	$4.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,151.85 / $4,218.47 / $6,306.69	Facility		$3,151.85	$4,218.47	$6,306.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.41 / $4.47	Professional		$3.22	$3.41	$4.47