Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $14.72 / $284.89	Facility		$4.19	$14.72	$284.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.80	Professional		$4.19	$4.19	$17.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $6.70 / $15.38	Facility		$4.19	$6.70	$15.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.73	Professional		$4.19	$4.19	$4.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $8.21	Facility		$4.19	$4.19	$8.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.19	Professional		$4.19	$4.19	$4.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $4.19	Facility		$3.95	$3.95	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $8.46	Professional		$4.19	$4.19	$8.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $54.22 / $153.66	Professional		$8.46	$54.22	$153.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $15.23 / $212.10	Professional		$4.44	$15.23	$212.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $5.58	Professional		$4.19	$4.44	$5.58