Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.61	Professional		$10.09	$10.09	$10.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.29	Professional		$10.09	$10.09	$10.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $19.78	Facility		$10.09	$10.09	$19.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $10.09	Facility		$9.52	$9.52	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.85	Professional		$10.09	$10.09	$12.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $66.00	Professional		$11.91	$11.91	$66.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $16.14	Professional		$10.70	$10.70	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $16.64	Professional		$10.09	$10.09	$16.64