Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.73	Professional		$2.49	$2.49	$2.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.68	Professional		$2.49	$2.49	$2.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $4.88	Facility		$2.49	$2.49	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $2.49	Facility		$2.35	$2.35	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.28	Professional		$2.49	$2.49	$3.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $79.00	Professional		$10.22	$10.22	$79.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.59 / $239.19	Professional		$4.23	$4.59	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $4.36	Professional		$2.49	$2.49	$4.36