Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.74	Professional		$12.49	$12.49	$13.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.73	Professional		$12.49	$12.49	$12.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $24.48	Facility		$12.49	$12.49	$24.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $12.49	Facility		$11.78	$11.78	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.91	Professional		$12.49	$12.49	$15.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $37.00	Professional		$12.48	$12.48	$37.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $23.11 / $239.19	Professional		$21.24	$23.11	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.63	Professional		$12.49	$12.49	$16.63