Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $2.99 / $144.68	Facility		$2.99	$2.99	$144.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.99 / $3.44	Professional		$2.88	$2.99	$3.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.26 / $3.26	Facility		$3.00	$3.26	$3.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.42 / $49.02	Professional		$3.00	$3.42	$49.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.15 / $4.41	Facility		$3.06	$3.15	$4.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $85.00	Facility		$3.06	$3.06	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.21 / $99.18	Professional		$3.06	$3.21	$99.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $16.12 / $107.10	Professional		$2.60	$16.12	$107.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $4.59	Professional		$3.00	$3.00	$4.59