Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $17.82 / $87.75	Facility		$4.96	$17.82	$87.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.62 / $7.13	Professional		$3.37	$4.62	$7.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.52	Professional		$3.11	$3.11	$3.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $6.62 / $17.92	Facility		$3.83	$6.62	$17.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $3.83 / $10.35	Professional		$1.92	$3.83	$10.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.18 / $8.28	Facility		$3.37	$5.18	$8.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $5.18	Professional		$3.37	$3.37	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $11.40 / $16.34	Facility		$5.16	$11.40	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.85 / $7.75	Professional		$2.59	$5.85	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.73 / $18.57	Professional		$5.66	$6.73	$18.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $2,123.17 / $2,932.00	Facility		$1,799.18	$2,123.17	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.78 / $9.46	Professional		$2.18	$3.78	$9.46