Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.98 / $21.30	Facility		$7.88	$7.98	$21.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $9.66	Professional		$7.88	$7.88	$9.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $12.61 / $28.92	Facility		$7.88	$12.61	$28.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $8.11	Professional		$7.88	$7.88	$8.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $15.44	Facility		$7.88	$7.88	$15.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Professional		$7.88	$7.88	$7.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.43 / $7.88	Facility		$7.43	$7.43	$7.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $10.03	Professional		$7.88	$7.88	$10.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $10.37 / $53.00	Professional		$7.98	$10.37	$53.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $13.36 / $27.40	Professional		$7.66	$13.36	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.35 / $10.09	Professional		$7.88	$8.35	$10.09