Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.68 / $46.02	Facility		$1.35	$1.68	$46.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.02	Professional		$1.35	$1.35	$2.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.46 / $1.46	Facility		$1.35	$1.46	$1.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.45	Professional		$1.35	$1.35	$1.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $2.65	Facility		$1.35	$1.35	$2.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $1.35	Facility		$1.28	$1.28	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.85	Professional		$1.35	$1.35	$1.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.22 / $20.87	Professional		$1.85	$2.22	$20.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.16 / $6.30	Professional		$1.30	$2.16	$6.30
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.06	Professional		$1.35	$1.35	$2.06