Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $354.81 / $1,096.48	Facility		$2.75	$354.81	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $11.22	Professional		$2.00	$2.00	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.02 / $15.14	Facility		$2.75	$3.02	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $4.07	Facility		$2.75	$2.75	$4.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.88 / $4.37	Professional		$2.75	$2.88	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.75	Facility		$2.63	$2.63	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.55	Professional		$2.75	$2.75	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $12.02	Professional		$2.75	$3.98	$12.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $5.13 / $12.88	Professional		$2.40	$5.13	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $5.89 / $8.32	Facility		$3.24	$5.89	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.95 / $3.72	Professional		$2.75	$2.95	$3.72