Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.14 / $1,624.00	Facility		$0.63	$1.14	$1,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $1.43	Professional		$0.63	$0.64	$1.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.01 / $2.31	Facility		$0.63	$1.01	$2.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.64	Professional		$0.63	$0.63	$0.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $1.23	Facility		$0.63	$0.63	$1.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $0.63	Facility		$0.59	$0.59	$0.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.80	Professional		$0.63	$0.63	$0.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.89 / $11.00	Professional		$0.70	$0.89	$11.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $1.03 / $2.95	Professional		$0.64	$1.03	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $0.84	Professional		$0.63	$0.67	$0.84