Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $24.50 / $72.73	Facility		$3.10	$24.50	$72.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.14 / $5.05	Professional		$3.11	$3.14	$5.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.37 / $3.37	Facility		$3.11	$3.37	$3.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.24	Professional		$3.11	$3.11	$3.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.11 / $6.10	Facility		$3.11	$3.11	$6.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $2.94 / $3.11	Facility		$2.94	$2.94	$3.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $3.96	Professional		$2.21	$2.21	$3.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.31 / $4,060.11 / $4,507.22	Facility		$1,014.31	$4,060.11	$4,507.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $5.14	Professional		$3.11	$3.11	$5.14