Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Facility		$6.19	$6.19	$6.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.19 / $7.83	Professional		$4.25	$6.19	$7.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $6.36	Professional		$6.36	$6.36	$6.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $8.13 / $18.11	Professional		$3.82	$8.13	$18.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $9.33 / $15.66	Facility		$4.62	$9.33	$15.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.78 / $13.71	Professional		$8.32	$9.78	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $5.87 / $5.87	Facility		$5.83	$5.87	$5.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $4.99 / $11.20	Professional		$4.99	$4.99	$11.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.78 / $17.62	Professional		$7.44	$9.78	$17.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,932.00 / $2,932.00 / $2,932.00	Facility		$2,932.00	$2,932.00	$2,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.67 / $8.05	Professional		$3.25	$4.67	$8.05