Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $20.16 / $73.00	Facility		$7.42	$20.16	$73.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.84 / $18.98	Professional		$15.69	$15.84	$18.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $17.02 / $27.46	Facility		$15.69	$17.02	$27.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $15.69 / $15.69	Professional		$12.55	$15.69	$15.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $15.69 / $30.75	Facility		$15.69	$15.69	$30.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $15.69	Facility		$14.81	$14.81	$15.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $15.69	Professional		$15.69	$15.69	$15.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $7.66	Professional		$0.98	$0.98	$7.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,208.23 / $2,500.00	Facility		$2,178.87	$2,208.23	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $16.63	Professional		$15.69	$15.69	$16.63