Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $24.80 / $92.82	Facility		$3.94	$24.80	$92.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $5.05	Professional		$2.00	$2.40	$5.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.80	Professional		$1.62	$1.62	$1.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.45 / $8.86	Facility		$2.00	$3.45	$8.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $2.00 / $5.52	Professional		$0.99	$2.00	$5.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $2.70 / $4.32	Facility		$1.76	$2.70	$4.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2.70	Professional		$1.76	$1.76	$2.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $5.94 / $8.36	Facility		$2.58	$5.94	$8.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $3.30 / $4.13	Professional		$1.68	$3.30	$4.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.51 / $9.69	Professional		$2.95	$3.51	$9.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $85.86 / $91.62	Facility		$71.48	$85.86	$91.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.97 / $4.73	Professional		$1.58	$1.97	$4.73