Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $14.26	Facility		$5.73	$5.73	$14.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.82	Professional		$5.73	$5.73	$6.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $9.17 / $21.03	Facility		$5.73	$9.17	$21.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.84	Professional		$5.73	$5.73	$5.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $11.23	Facility		$5.73	$5.73	$11.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.41 / $5.73	Facility		$5.41	$5.41	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.76	Professional		$5.73	$5.73	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $20.00	Professional		$5.73	$6.30	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.60 / $27.40	Professional		$5.73	$10.60	$27.40
United Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $15.76 / $15.76	Facility		$6.07	$15.76	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.96 / $7.01	Professional		$5.73	$5.96	$7.01