Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $13.15 / $71.28	Facility		$4.75	$13.15	$71.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.13 / $6.93	Professional		$3.71	$4.13	$6.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $3.16	Professional		$2.85	$2.85	$3.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $6.07 / $16.44	Facility		$3.52	$6.07	$16.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $3.52 / $9.51	Professional		$1.75	$3.52	$9.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.75 / $7.60	Facility		$3.09	$4.75	$7.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $4.75	Professional		$3.09	$3.09	$4.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.45 / $14.71	Facility		$4.84	$10.45	$14.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $5.78 / $7.23	Professional		$2.43	$5.78	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $6.18 / $17.07	Professional		$5.19	$6.18	$17.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $96.93 / $102.57	Facility		$80.70	$96.93	$102.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $6.51 / $7.87	Professional		$2.85	$6.51	$7.87