Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $3.81	Facility		$2.54	$2.54	$3.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.80	Professional		$2.54	$2.54	$2.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.59	Professional		$2.54	$2.54	$2.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $4.98	Facility		$2.54	$2.54	$4.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.54	Facility		$2.40	$2.40	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.24	Professional		$2.54	$2.54	$3.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $14.00	Professional		$2.54	$2.54	$14.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $4.71	Professional		$4.32	$4.32	$4.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $4.45	Professional		$2.54	$2.54	$4.45