Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $15.27	Facility		$10.39	$10.39	$15.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.47	Professional		$10.39	$10.39	$12.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $16.62 / $38.13	Facility		$10.39	$16.62	$38.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $10.59	Professional		$10.39	$10.39	$10.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $20.36	Facility		$10.39	$10.39	$20.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Professional		$10.39	$10.39	$10.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $10.39	Facility		$9.80	$9.80	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.25	Professional		$10.39	$10.39	$12.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.45 / $36.00	Professional		$10.39	$11.45	$36.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $16.64 / $23.40	Professional		$8.50	$16.64	$23.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.81 / $12.47	Professional		$10.39	$10.81	$12.47