Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.15 / $197.20	Facility		$5.86	$8.15	$197.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.15 / $8.97	Professional		$5.86	$8.15	$8.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $13.27 / $29.91	Facility		$8.15	$13.27	$29.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $8.80	Professional		$8.15	$8.15	$8.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $8.15 / $13.04	Facility		$8.15	$8.15	$13.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.15 / $13.04	Professional		$5.86	$8.15	$13.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $7.69 / $8.15	Facility		$7.69	$7.69	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.38	Professional		$8.15	$8.15	$10.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $44.07 / $60.59	Professional		$4.68	$44.07	$60.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $13.86 / $75.80	Professional		$8.15	$13.86	$75.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.59 / $10.43	Professional		$8.15	$8.59	$10.43