Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $26.59 / $77.40	Facility		$2.61	$26.59	$77.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.14 / $5.00	Professional		$1.87	$2.14	$5.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.42 / $1.62	Professional		$1.24	$1.42	$1.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $3.04 / $7.79	Facility		$1.76	$3.04	$7.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.76 / $4.99	Professional		$0.87	$1.76	$4.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $2.37 / $3.79	Facility		$1.54	$2.37	$3.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.37	Professional		$1.54	$1.54	$2.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $5.21 / $7.36	Facility		$2.25	$5.21	$7.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $2.63 / $3.61	Professional		$1.12	$2.63	$3.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.57 / $8.26	Professional		$2.37	$3.57	$8.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $298.97 / $926.16	Facility		$96.04	$298.97	$926.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $3.25 / $3.98	Professional		$1.42	$3.25	$3.98