Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $462.48 / $1,150.01	Facility		$5.72	$462.48	$1,150.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.13 / $309.31	Professional		$3.02	$4.13	$309.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.28 / $3.28	Facility		$3.02	$3.28	$3.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.08	Professional		$3.02	$3.02	$3.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $5.94	Facility		$3.02	$3.02	$5.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.02	Facility		$2.85	$2.85	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $69.09 / $69.09	Professional		$4.19	$69.09	$69.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,767.17 / $3,085.48 / $3,706.32	Facility		$1,767.17	$3,085.48	$3,706.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.29	Professional		$3.02	$3.02	$5.29