Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $64.09 / $490.80	Facility		$1.87	$64.09	$490.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.31 / $2.29	Professional		$1.26	$1.31	$2.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.37 / $2.21	Facility		$1.26	$1.37	$2.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.26 / $1.28	Professional		$1.12	$1.26	$1.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $2.48	Facility		$1.26	$1.26	$2.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.19 / $1.26	Facility		$1.19	$1.19	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $3.10 / $3.10	Professional		$1.29	$3.10	$3.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $108.87 / $129.32	Facility		$98.87	$108.87	$129.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.21	Professional		$1.26	$1.26	$2.21