Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $6.55 / $6.55	Facility		$5.79	$6.55	$6.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.55 / $9.61	Professional		$5.51	$6.55	$9.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Facility		$4.66	$4.66	$4.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.01 / $14.66	Professional		$9.17	$11.01	$14.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $5.43 / $7.53	Facility		$5.43	$5.43	$7.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Professional		$5.43	$5.43	$5.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $85.00	Facility		$6.55	$6.55	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $8.34	Professional		$6.55	$6.55	$8.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.88 / $15.29	Professional		$6.83	$8.88	$15.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $14.84	Professional		$11.59	$11.59	$14.84