Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.88 / $8,219.95	Facility		$1.85	$1.88	$8,219.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.88 / $2.50	Professional		$1.85	$1.88	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.01 / $6.90	Facility		$1.88	$3.01	$6.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.02	Professional		$1.88	$1.88	$2.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $3.68	Facility		$1.88	$1.88	$3.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.88	Facility		$1.78	$1.78	$1.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.40	Professional		$1.88	$1.88	$2.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $24.59 / $55.51	Professional		$1.80	$24.59	$55.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.72 / $40.00	Professional		$2.00	$3.72	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $2.42 / $2.42	Facility		$1.24	$2.42	$2.42
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.99 / $2.50	Professional		$1.88	$1.99	$2.50