Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $6.09 / $154.02	Facility		$1.33	$6.09	$154.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.86 / $2.04	Professional		$1.33	$1.86	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.02 / $8.67	Facility		$1.86	$2.02	$8.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.99	Professional		$1.86	$1.86	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $3.65	Facility		$1.86	$1.86	$3.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.86	Facility		$1.75	$1.75	$1.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.37	Professional		$1.86	$1.86	$2.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.22 / $21.31	Professional		$1.58	$2.22	$21.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.15 / $7.96	Professional		$1.86	$3.15	$7.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.48	Professional		$1.86	$1.86	$2.48