Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $30.68 / $92.69	Facility		$3.75	$30.68	$92.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.11 / $5.35	Professional		$1.01	$1.11	$5.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.19 / $1.19	Facility		$1.10	$1.19	$1.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.10 / $1.10	Professional		$0.88	$1.10	$1.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $2.16	Facility		$1.10	$1.10	$2.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.10	Facility		$1.04	$1.04	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.99	Professional		$0.23	$0.23	$0.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $4,052.78 / $12,170.51	Facility		$3,750.00	$4,052.78	$12,170.51
United Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $2.31 / $2.31	Facility		$1.02	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.68	Professional		$1.10	$1.10	$1.68