Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.41 / $43.65	Facility		$3.47	$7.41	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.80 / $9.77	Professional		$2.00	$3.80	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.09 / $5.50	Professional		$2.00	$2.09	$5.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.47 / $7.94	Facility		$2.45	$4.47	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.80 / $6.61	Professional		$1.62	$3.80	$6.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.63 / $5.89	Facility		$2.34	$2.63	$5.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $3.98	Professional		$2.63	$2.63	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.76 / $12.59	Facility		$3.89	$7.76	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $4.57 / $6.17	Professional		$1.78	$4.57	$6.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.59 / $21.88	Professional		$4.47	$7.59	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,467.37	Facility		$1,819.70	$2,187.76	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.63 / $3.98	Facility		$1.86	$3.63	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.37 / $5.37	Professional		$2.40	$4.37	$5.37