Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $16.80 / $54.00	Facility		$1.50	$16.80	$54.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.10 / $1.60	Professional		$1.05	$1.10	$1.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.18 / $1.18	Facility		$1.09	$1.18	$1.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.09 / $1.11	Professional		$0.92	$1.09	$1.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $2.14	Facility		$1.09	$1.09	$2.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $1.09	Facility		$1.02	$1.02	$1.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.09	Professional		$1.09	$1.09	$1.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $1.20	Professional		$0.43	$0.43	$1.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,638.27 / $3,425.00 / $5,938.87	Facility		$2,638.27	$3,425.00	$5,938.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.15 / $1.40	Professional		$1.09	$1.15	$1.40