Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.00 / $4.41	Facility		$2.93	$3.00	$4.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.96 / $3.62	Professional		$2.93	$2.96	$3.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Facility		$2.93	$2.93	$2.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.98	Professional		$2.93	$2.93	$2.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $4.09	Facility		$2.93	$2.93	$4.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $85.00	Facility		$2.93	$2.93	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.73	Professional		$2.93	$2.93	$3.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.82 / $7.90	Professional		$2.97	$3.82	$7.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.75 / $7.00	Professional		$2.84	$4.75	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.96	Professional		$2.93	$2.93	$3.96