Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.78 / $20.42	Facility		$1.00	$1.78	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.45 / $91.20	Professional		$1.32	$2.45	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.09 / $3.24	Professional		$1.20	$2.09	$3.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.55 / $4.07	Facility		$2.40	$3.55	$4.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.69 / $3.24	Professional		$1.82	$2.69	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $3.80	Facility		$1.51	$1.51	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.95	Professional		$1.29	$1.29	$2.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.57 / $4.68	Professional		$1.62	$2.57	$4.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,621.81	Facility		$1,288.25	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.98 / $1.45	Facility		$0.72	$0.98	$1.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.20 / $2.19	Professional		$0.83	$1.20	$2.19