Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $6.55	Facility		$4.51	$4.51	$6.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.51 / $5.69	Professional		$1.94	$4.51	$5.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $3.68 / $4.09	Professional		$3.68	$3.68	$4.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $5.92 / $13.53	Professional		$3.57	$5.92	$13.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $7.12 / $11.39	Facility		$4.33	$7.12	$11.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.12 / $9.97	Professional		$6.05	$7.12	$9.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $4.53	Facility		$4.28	$4.28	$4.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $8.06	Professional		$3.64	$3.64	$8.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.12 / $12.82	Professional		$5.41	$7.12	$12.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.24 / $1,154.24 / $1,154.24	Facility		$1,154.24	$1,154.24	$1,154.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.38 / $5.87	Professional		$2.37	$3.38	$5.87